Patient Survey

Please fill out the applicable information!

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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) *
 
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