Please enable JavaScript in your browser to complete this form.Your detailsAgeUnder 1818-2425-3435-4445-5455-6465 or AbovePrefer not to answerGenderMaleFemaleWhat were you treated for?Who were you treated by?Have you been treated by us before?YesNoYour experience1 – Strongly Disagree 2 – Disagree 3 – Neutral 4 – Agree 5 – Strongly AgreeMy privacy was protected during my physical therapy care12345My therapist was courteous and professional12345I am satisfied with the treatment provided by my physical therapist12345It was easy to schedule all my appointments12345The new patient registration process met my expectations12345I was seen promptly when I arrived for treatment12345The location of the clinic was convenient for me12345I was satisfied with the appearance and cleanliness of the facility12345My physical therapist clearly understood my problem or condition12345The instructions my physical therapist gave me were helpful and easy to follow12345I received no problems with billing or statements I received12345I am satisfied with the overall quality of my physical therapy care12345I would recommend Doctors of Physical Therapy to family or friends12345I woud return to Doctors of Physical Therapy for care in the future12345CommentsWould you like us to contact you about this survey? If so, please give us your contact information below. *Yes, pleaseNo thank youNameFirstLastPhone NumberEmailPhoneSubmit
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