Patient Survey

Please fill out the applicable information!

  • Home  >
  • Patient Survey

Patient Survey

We want to hear about your experience with us. Please complete the survey listed below. Scale of 1-5 with 1=strongly disagree, 2=disagree, 3=neutral, 4=agree, and 5=strongly agree

 
At which location did you receive services? *
Who was your therapist? *
The front desk was friendly, helpful and professional *
It was easy to get my appointment scheduled *
My therapist was knowledgeable and professional *
My therapist listened to my concerns *
My therapist took the time to answer and explain all questions regarding my treatment *
Overall my therapist performed an excellent job *
The support staff was friendly, helpful and professional *
The overall appearance of the clinic is clean and well maintained *
Billing is understandable *
I will recommend Peak Sports and Spine Physical Therapy to others *
What did you like best about the clinic? *
What can we do to improve your overall experience? *
Your Name (Optional) *
E-mail (Optional) *
 
Get moving!

Participate in our next event- From races to clinics! Get in the know!

View Events

Sports Equipment Drive...

We are pleased to be involved with the Boys and Girls Club to collect and donate new or used sports...

Read more

Peak Sports

We All Need Help Staying Healthy. P...

Physical activity has a well known and impressive list of benefits.

Read more