Patient Discharge Survey Question Title * 1. At which Bay State clinic did you receive treatment? Abington Arlington Attleboro Beverly Bourne Brockton - Belmont Street Brockton - Pearl Street Brookline Burlington Carver Cedarville Chelmsford Concord, NH Danvers Dorchester Foxboro Franklin Halifax Hingham Ipswich Kingston Lowell Malden Marshfield Methuen Needham Newton North Attleboro North Dartmouth Norwell Pembroke Plymouth Plymouth-Women's Health Providence Quincy Randolph Raynham Reading Rockland Roxbury (Dimock Center) Boston Whittier Boston Huntington Avenue Salem Scituate Somerset South Boston Springfield Stoughton (Old Colony YMCA) Stoughton (Washington St) Swampscott Taunton Tewksbury Waltham Westborough West Bridgewater West Roxbury Weymouth Woburn Question Title * 2. Who was your therapist? Please Rate (5 = Highly Satisfied, 1 = Not Satisfied) Question Title * 3. My condition and plan of care were clearly explained by my PT & I was able to ask questions 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 4. I am satisfied with my treatment and I have made progress since starting physical therapy 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 5. My PT was sensitive to my needs, and made adjustments in my treatment based upon my progress 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 6. The facility was well-kept, clean, and the equipment was in good working condition 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 7. I was scheduled and seen for PT in a timely manner following my physician referral 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 8. I had minimal waiting time at my PT appointments 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 9. I was greeted in a prompt and friendly manner at each visit 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 10. The staff was flexible with my scheduling needs to help keep me on my plan of care 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 11. How would you rate your overall experience at Bay State PT 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 12. How likely would you return here for PT or refer someone you know? 5 (Extremely Likely) 4 3 2 1 (Not Likely) 5 (Extremely Likely) 4 3 2 1 (Not Likely) Question Title * 13. Any additional comments: We thank you for taking the time to complete our satisfaction survey. We continually strive to be Physical Therapy at its best and value your input. Page1 / 1 100% of survey complete. Done