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Midwest Rehab Patient Comment Cards
5.
Default Section
1.
Name:
2.
Email:
3.
Therapist I'm seeing today:
4.
Is this your first visit to Midwest Rehab?
Yes
No
5.
If you called the office, was the phone answered promptly?
Yes
No
6.
Were we able to schedule an appointment to meet your needs?
Yes
No
7.
Were you treated with kindness and respect at all times by the receptionists?
Yes
No
8.
Were you treated with kindness and respect at all times by the therapists?
Yes
No
9.
Do you feel your wait to be seen was appropriate?
Yes
No
10.
Did we answer your questions completely?
Yes
No
11.
Would you use our services again?
Yes
No
12.
Would you recommend us to others?
Yes
No
13.
What did we do well?
14.
What could we do better?