We would appreciate it if you would take a few minutes to complete the following survey. The information you provide will assist us in achieving our goal of 100% patient satisfaction.
Patient Name (Optional)
Therapist Name
 
Please rate the following based upon your experience:

Courtesy of Staff:
Front Office/Scheduling
Therapist Aide
Billing Staff
 

Communication regarding financial/Insurance Information

Cleanliness of facility

Treatment plan and questions were answered by my therapist
Efficiency of treatment sessions
Sensitivity to my pain or discomfort
Manual (hands-on) treatment was part of my therapy session
Overall care and service received
My home exercise program was clearly explained
Therapy/exercise played an important role in my return to prior activity level Yes No
Were calls returned in a timely manner? Yes No
Your waiting time was

Would you refer a friend to OSR Physical Therapy?

 Yes No

Please Provide an Overall Rating of Your Therapist
Mouse over a rating (ie. "Good Care") for an explanation of that rating.

5 - Exceptional Care

4 - Very Good Care

3 - Good Care

2 - Adequate Care

1 - Poor Care
We welcome any additional comments you may have:
Thank you!




 




 
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