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* 1. Which Health Center did you visit today?

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* 2. The office receptionist and physical therapy staff are courteous.

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* 3. I was able to schedule my next appointment in a timely manner.

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* 4. I did not have to wait too long to see my therapist once I arrived for my appointment.

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* 5. My therapist spent enough time with me explaining the treatment, home exercises, and answering my questions.

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* 6. Overall, I am satisfied with the services I received from physical therapy.

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* 7. Any Additional Comments:

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* 8. Please enter your name and phone number if you would like us to contact you in regards to your comments. (Optional)

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