Patient Experience Questionnaire

In an effort to better serve you, we would love to hear about your experience with SPTRS. We review every questionnaire returned to us. Please let us hear from you.

First Name: *

Last Name: *

Clinic where I received my physical therapy treatments:

My E-mail address: *

May we contact you about any of your opinions?

Yes

1. When you registered for physical therapy, were your benefits explained?

2. Did your Patient Care Coordinator answer your questions satisfactorily?

3. At appointments, did you have to wait long before your treatments?

4. Was your condition thoroughly explained to you as well as how it would be treated?

5. Did all staff members treat you in a friendly and respectful manner?

6. Would you recommend SPTRS to your family, friends, and coworkers?

Additional Comments:

Thank you for taking the time to share your opinions with us.

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