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* 1. During your most recent episode of physical therapy, were you referred by a physician?

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* 2. Are you aware that you do not need a doctors prescription to have physical therapy?

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* 3. How convenient was the location of your most recent episode of physical therapy?

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* 4. How helpful was your physical therapist or physical therapist assistant in your recovery?

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* 5. How important was ease of scheduling and flexible appointment times to you during your most recent episode of physical therapy?

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* 6. During your most recent physical therapy experience, what was the biggest influence on where you chose to receive your treatments? (Please don't choose more than 3)

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* 7. Was physical therapy affordable for you?

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* 8. Are you aware that you can choose where to have your physical therapy, regardless of where your surgeon or doctor is located or what they recommend?

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* 9. Did you know that most physical therapists hold doctorate level degrees?

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* 10. Below is a list of conditions that physical therapy can treat, please mark only the ones that you knew could be helped with PT.

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