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Patient Survey

At Magnolia 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 survey.

"*" indicates required fields

Name*
Therapist*
Please rate the survey questions below based on the following scale. N/A = Not Applicable 1 = Unsatisfactory 2 = Fair 3 = Average 4 = Good 5 = Excellent
1. Was our team friendly and helpful on the phone with you?*
2. Have all office team members been courteous and helpful?*
3. Were your benefits adequately explained to you?*
4. Have the office and treatment areas always been clean and comfortable?*
5. Did the clinic have scheduled appointments at convenient times for you?*
6. Was it easy to schedule your appointments?*
7. Were you always seen promptly when you arrived for treatment?*
8. Was the check-in process prompt and efficient?*
9. Was your therapist courteous and helpful?*
10. Did your physician/therapist fully explain your problem and how they would treat it?*
11. Did you receive a home program and were you instructed properly in activities to do at home?*
12. Would you recommend this facility to your friends or family?*
13. Will you return to our practice if future care is needed?*
14. How was your overall satisfaction with your experience in therapy?*
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