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* 1. Which facility were you treated at?

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* 2. Was this your first experience with physical therapy?

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* 3. Was this your first experience with this clinic?

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* 4. Check all areas that you received physical therapy on

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* 5. My physical therapist was curteous

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* 6. All other staff members were welcoming & friendly

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* 7. The clinic scheduled appointments at convenient times

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* 8. I was satisfied with the treatment provided by my physical therapist

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* 9. My first visit for physical therapy was scheduled quickly

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* 10. It was easy to schedule visits after my first appointment

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* 11. I was seen promptly when I arrived for treatment

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* 12. The location of the clinic was convenient for me

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* 13. My bills were accurate

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* 14. My privacy was respected during my physical care

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* 15. I am satisfied with my communication with the billing department

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* 16. Parking was available for me

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* 17. The instructions my physical therapist gave for home management were helpful

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* 18. I was satisfied with my outcome & results of physical therapy care

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* 19. I would recommend this clinic to family and friends

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* 20. I would return to this clinic if I required physical therapy care in the future

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* 21. The cost of physical therapy treatment received was reasonable

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* 22. If I had to, I would pay for these physical therapy services myself

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* 23. The clinic was clean

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* 24. I feel Apex marketing and community involvement is adequately visible

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* 25. Overall, I was satisfied with my experience with Apex physical therapy

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