Question marked with * are mandatory.


Q1. Have you had Physical Therapy Treatment Before?
Q2. What was your first impression of our clinic?
Q3. How quickly we scheduled your first visit: *
Q4. How did you hear about our clinic? *
If Other, how did you hear about us?
Q5. Friendliness of the staff who greeted you and took care of you at your first visit : *
Q6. How well your therapist clearly explained your condition and future treatment plan : *
Q7. How well your insurance questions were answered : *
Q8. How well your therapist explained your home exercise program : *
Q9. Add other comments or insights below that could help us improve your first experience with our clinic.
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