Patient Discharge Survey Question Title * 1. At which clinic location did you receive treatment? Abington Arlington Attleboro Athol Auburn, ME Bath, ME Bedford, NH Beverly Boston Huntington Ave Boston Whittier Bourne Brockton - Belmont Street Brockton - Pearl Street Brookline Burlington Cambridge Carver Cedarville Chelmsford Chestnut Hill Concord, NH Danvers Dorchester Dracut East Bridgewater Fall River Foxboro Foxboro Sports Performance Center Franklin Greenfield Halifax Hingham Ipswich Kingston Leicester Lisbon Falls, ME Londonderry, NH Lowell Malden Manchester, NH Marlborough Marshfield Methuen Milton Monmouth, ME Nashua, NH Needham Newton North Andover North Attleboro North Dartmouth Norwell Pembroke Plymouth Portsmouth, NH Providence Quincy Randolph Raynham Reading Rockland Roxbury (Dimock Center) Salem Saugus Scituate Shrewsbury Somerset South Boston Springfield Sterling Stoughton (Old Colony YMCA) Stoughton (Washington St) Swampscott Taunton Taunton Dean Street Tewksbury Topsham/Brunswick, ME Walpole Waltham West Bridgewater West Brookfield West Roxbury Westborough Westwood Weymouth Woburn Wrentham 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 was satisfied with the 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 your clinic location? 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) 5 (Highly Satisfied) 4 3 2 1 (Not Satisfied) Question Title * 12. 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