Physical Therapy
Performance Training

Satisfaction Survey

Thank you for choosing ProActive SportsMed as your physical therapy provider. We truly value you as a patient and would like to continue to provide outstanding service to you. Your honest feedback is appreciated. Please help us to exceed your expectations by filling out this brief survey.

Please provide any additional comments and thoughts, both positive and constructive criticism, on the line provided under each item.

The office staff were helpful and courteous while setting up my appointments.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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My insurance benefits were explained to me so that I could understand them.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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My initial evaluation was scheduled within 24-48 hours or within my desired time frame.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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Appointments were scheduled to my convenience.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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The clinician introduced him/herself to me personally.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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The evaluation and treatment I received was explained in a clear and helpful manner.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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I received enough individual attention from my therapist.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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My physical therapist explained my injury/problem to me in a way I could understand.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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I was given a home program and instructions at time of discharge.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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I was satisfied with the treatment provided by my therapist.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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The aides were helpful and courteous in all aspects of my care.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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The billing staff was friendly and helpful in answering my questions and concerns.

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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Would you recommend ProActive SportsMed to others?

 Yes No

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What is your overall impression of ProActive SportsMed?

 Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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My appointment was with:

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