1. Default Section

1. How did you hear about Alliance PT?

2. Name of referring doctor.

3. How satisfied are you with the following:

  Strongly Disagree Disagree Undecided Agree Strongly Agree
The front desk was friendly, helpful and professional
It was easy to make my first appointment
It was easy to schedule further appointments, after my initial one
Paper work and procedures were explained clearly
Communication over the telephone was courteous and professional
The billing process was explained and understandable
Therapy services were prompt upon my arrival
The location was convenient for me
There was adequate parking
The hours of operation were convenient for me
The overall appearance of the clinic is clean and well maintained
There was respect for my privacy during visits
My therapist was knowledgeable and professional
I was given a home exercise program
I was compliant with my home exercise program
I was please with my physical therapy progress
I would recommend Alliance PT to others

4. What did you like most about Alliance PT?

5. What can we do to improve your overall experience?