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* 1. I was able to schedule my initial evaluation quickly and easily.

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* 2. My therapist provided me with the tools and techniques to manage my condition independently and reduce pain and re-injury.

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* 3. Since beginning physical therapy I have improved _____%.

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i We adjusted the number you entered based on the slider’s scale.

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* 4. Physical therapy treatment was a worthwhile investment of my time.

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* 5. If I had to I would pay for physical therapy services out-of-pocket (without insurance coverage).

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* 6. I would recommend Focal Point to my family and friends.

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* 7. I was satisfied with the billing procedures and payment process.

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* 8. How did you hear about Focal Point?

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* 9. Would you be willing to complete a testimonial for marketing purposes? If "yes", please provide contact details below.

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* 10. Additional Comments

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