* 1. Location/Facility:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
The therapy facility is conveniently located for me.
The facility was clean.
It is difficult for me to get into the facility from the parking lot.

* 2. Registration/Admission:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
The registration process was appropriate.
Billing and payment information was explained to my satisfaction.

* 3. Reception/Scheduling:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
The time it took to receive my initial visit was appropriate.
The reception staff is attentive to my needs.
I am able to find appointments that meet my needs.
Scheduling appointments takes too much time.

* 4. Quality of therapy services:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
My therapist throroughly explains my condition and treatments to me.
My therapist listens to my concerns.
My therapist did not answer all my questions.
My therapist did not spend enough time with me.
My therapist gives me detailed instructions for managing my problem at home, including home exercises.
Overall, I am completely satisfied with the quality of care I received from my therapist.

* 5. Outcome:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
My therapist involved me in setting goals for my therapy.
I am satisfied with my outcome from therapy.

* 6. Cost:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
I am charged a reasonable amount for therapy.
The quality of care I receive is compatible with the cost.
It could be easier to make the arrangements to pay for my therapy.

* 7. Overall Impression:

  Strongly Disagree Disagree Uncertain Agree Strongly Agree
I would return to this facility for future care.
I would recommend this facility to others.
Overall, I am satisfied with the services I recieved.

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