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Patient Survey

Please rate the survey questions below based on the following scale.
N/A = Not Applicable   1 = Unsatisfactory   2 = Fair   3 = Average   4 = Good   5 = Excellent

  1. Was our staff friendly and helpful on the phone with you?
    N/A12345
  2. Have all office staff members been courteous and helpful?
    N/A12345
  3. Were your benefits adequately explained to you?
    N/A12345
  4. Have the office and treatment areas always been clean and comfortable?
    N/A12345
  5. Did the clinic have scheduled appointments at convenient times for you?
    N/A12345
  6. Was it easy to schedule your appointments?
    N/A12345
  7. Were you always seen promptly when you arrived for treatment?
    N/A12345
  8. Was the check-in process prompt and efficient?
    N/A12345
  9. Was your therapist courteous and helpful?
    N/A12345
  10. Did your physician/therapist fully explain your problem and how they would treat it?
    N/A12345
  11. Did you receive a home program and were you instructed properly in activities to do at home?
    N/A12345
  12. Would you recommend this facility to your friends or family?
    N/A12345
  13. Will you return to Excel Physical Therapy if future care is needed?
    N/A12345
  14. How was your overall satisfaction with your experience in therapy?
    N/A12345
  15. Please share your comments: