Patient Survey

At Elliott Physical Therapy, we are constantly focusing on ways to improve our service to our patients and referring physicians. Please take a moment to let us know how well we are doing and what we can do to improve our services to you by completing this short patient survey.

Mark the rating for each question that best indicates your feelings about your visit.
Rating Scale: 1 = Poor    2 = Fair    3 = Good    4 = Very Good    5 = Excellent

  1. Were the administrative staff friendly and helpful on the phone with you?
    12345
  2. Were your benefits adequately explained to you?
    12345
  3. Have the office and treatment areas always been clean and comfortable?
    12345
  4. Was it easy to schedule your appointments?
    12345
  5. Was the check-in process prompt and efficient?
    12345
  6. Was your therapist caring and helpful?
    12345
  7. Was your Plan of Care (POC) thoroughly explained to you?
    12345
  8. Did you feel your concerns were heard and addressed in a caring manner?
    12345
  9. Would you recommend this facility to your friends or family?
    YesNo
  10. Will you return to Elliott Physical Therapy if future care is needed?
    YesNo

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