Patient Survey

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 staff friendly and helpful on the phone with you?
   N/A12345
2. Have all office staff members been courteous and helpful?
   N/A12345
3. Were your benefits adequately explained to you?
   N/A12345
4. Have the office and treatment areas always been clean and comfortable?
   N/A12345
5. Did the clinic have scheduled appointments at convenient times for you?
   N/A12345
6. Was it easy to schedule your appointments?
   N/A12345
7. Was the check-in process prompt and efficient?
   N/A12345
8. Did your therapist fully explain your problem and how they would treat it?
   N/A12345
9. Did you receive a home program and were you instructed properly in activities to do at home?
   N/A12345
10. Would you recommend this facility to your friends or family?
    N/A12345
11. Will you return to Advantage Therapy if future care is needed?
    N/A12345
12. What activities or hobbies are you able to do now that you weren’t able to do prior to coming to Advantage?
    N/A12345

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