Physical Therapy Patient Satisfaction Survey

Maine Feldenkrais and Physical Therapy values your feedback, so please take a moment to answer the following questions. This information allows us to improve our services and provide better care. Please use the enclosed self addressed stamped envelope to return the survey to us.

Please rate the following on a scale of 1 being the worst to 5 being the best:*
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Courtesy of office personnel
Courtesy of clinical staff
Phone etiquette of front office staff
Treatment I received was explained in a clear manner
PT aides were helpful and courteous in my care
Helpful responses were provided to my questions/concerns
My initial evaluation was scheduled within 24 hours of my desired timeframe
Appointments were scheduled to my convenience
When I arrived, my appointments began promptly
I received enough individual attention from my therapist
My therapist communicated with my doctor regarding my progress
Please rate your overall improvement in your condition due to PT
Cleanliness of facility
Atmosphere
Equipment type and availability
Parking
Paperwork was explained in a helpful manner
Handling of billing and co-pays
The MFPT website was easy to navigate and use
What is your overall impression of MFPT?
Clinician introduced him/herself to me personally*
YesNo
Would you refer someone to MFPT?*
YesNo
Would you recommend that your physician refer patients to MFPT?*
YesNo
Can we share your comments as testimonials or with your referring physician?*
YesNo
Additional Comments:*