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Patient Satisfaction Survey

Welcome to your Satisfaction Survey

Please tell us your opinion about the services you received at Prime Health Physical Therapy. Your feedback is extremely important to us. Your responses will be kept confidential and your suggestions will help us to improve our services. We highly appreciate your time and effort to assist us in delivering higher quality patient care.

How satisfied were you with the ease of scheduling your appointment?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
How would you rate the courtesy and professionalism of our staff?
Excellent
Very Good
Good
Fair
Poor
Not Applicable
How would you rate the attentiveness and care provided by your therapist?
Excellent
Very Good
Good
Fair
Poor
Not Applicable
Did your therapist clearly explain your treatment and answer your questions?
Completely
Mostly
Somewhat
Not Really
Not at All
Not Applicable
How satisfied are you with the progress or results of your treatment?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Not Applicable
How would you rate your overall experience with Prime Health Physical Therapy?
Excellent
Very Good
Good
Fair
Poor
Not Applicable
How likely are you to recommend Prime Health Physical Therapy to family or friends?
Very Likely
Likely
Not Sure
Unlikely
Very Unlikely
Not Applicable
Would you like us to contact you regarding any feedback or concerns you shared?
Yes
No
May we share your comments publicly?
Yes
No
Do you How would you like your name displayed?
First Name and Last Name (Eg. John Doe)
First Name and Last Name Initial (Eg. John D)
Initials Only (Eg. JD)
Anonymous
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