1.How would you rate the care you receive from Link Physical Therapy

Excellent

Very Good

Good

Fair 

Poor

2.How easy was it to schedule you appointment 

Very easy

Easy

Neither easy nor difficult

Difficult

Very difficult

3.How comfortable is our office setting?

Extremely comfortable

Very Comfortable

Somewhat comfortable

Not so comfortable

Not comfortable at all

4.How well does your provider listen to your needs?

Extremely well

Very well 

Somewhat well

Not so well

Not well at all

5.Tell us about your experience at Link Physical Therapy

6.What makes Link Physical Therapy unique?

7.Would you recommend Link Physical Therapy? If so, to whom?

*8.I hereby authorize Link Physical Therapy to use, reproduce, and publish these testimonials and statements.  I agree and understand I shall neither be compensated for the Content nor receive attribution for the Content. 

I also attest that I am authorized to grant Link Physical Therapy the right to use this Content. I understand that this Content may be used in publications, press releases, marketing materials, advertisements (both digital and print), websites (including social media sites), or other uses. This authorization is continuous, and only I may withdraw this authorization through specific, written rescission.

I hereby release from any liability of any kind related to the use, reproduction, or publication of the Content.(Required.)

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Address

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*9.Thank you for sharing your story!  Your valuable feedback can help empower others to get the help they need.  If we share your testimonial/story, please indicate your preference:(Required.)

OK to use my full name

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OK to use first name and last initial only 

I would like to remain anonymous

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