1. Who was your treating Physical Therapist?
Jeff KitchenBreann SuddockLogan SullivanDenise WhiteOther
2. Why were you referred to physical therapy?
3. How did you hear about us?
Referral from a physicianFriend/family/coworkerWebsiteYelpGoogleFlyerOther
4. If you visited our website, how easy was it to navigate?
Very easyEasySomewhat easyNot easyDid not use website
5. At what point during your treatment did someone explain your insurance benefits to you?
Before your first appointmentFirst visitSecond visitLast visitOther
6. Were there any misunderstandings regarding your insurance benefits?
7. After completing the appropriate forms, how long did you wait to see a physical therapist?
Less than 5 minutes5-10 minutes10-15 minutes30< minutes
8. Besides your recent physical therapy treatment, have you had previous experiences with physical therapy?
9. If yes, how did we compare?
Excellent serviceGood serviceAverage servicePoor serviceNot Applicable
10. Are you completely satisfied with the overall care provided by your physical therapist?
11. What could we improve?
12. After receiving care, do you feel your problem/complaint has?
Greatly improvedSomewhat improvedNo improvement
13. Would you consider return to Rehab Plus Physical Therapy for treatment?
14. Would you consider referring a friend or family member?
15. What could have been done differently?
We love to hear your stories and we always appreciate feedback!