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Compassion, Community, Commitment
Our goal is to meet and exceed the expectations of our customers. To continually strive toward improving the level of our service, we are dependent on feedback from you. Thank you for taking your time to help us by completing this survey.
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Name
Optional |
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Date |
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Services I received
Check all that apply |
PT
OT
Speech Therapy
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The Secretary was helpful in explaining insurance and scheduling appointments |
Strongly Disagree Disagree Undecided Agree Strongly Agree |
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The Rehab staff was courteous and friendly |
SD D U A SA |
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My appointments began within a few minutes of scheduled time |
SD D U A SA |
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The therapist was able to answer my questions and sufficiently explain my diagnosis and plan of care |
SD D U A SA |
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I participated in establishing my goals |
SD D U A SA |
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I received enough individual attention from my therapist |
SD D U A SA |
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I had privacy during my care when privacy was needed |
SD D U A SA |
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The overall quality of my care was good |
SD D U A SA |
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I would recommend this rehab service to someone close to me |
SD D U A SA |
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If no longer attending rehab: |
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I was discharged by my therapist. |
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I agreed with the decision. |
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I ran out of insurance coverage. |
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I chose to stop coming because I was not happy with my progress. |
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I told my therapist. |
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I was unable to continue due to outside factors.
moving, illness, etc. |
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My doctor suggested that I stop therapy. |
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Other |
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Please feel free to leave additional comments |
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