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  1. Surveys
  2. 2016
  3. November
  4. A
  5. ADULT
0%
Exit Survey
 
 
Age/ Male or Female
   
 
 
General area of treatment:
NECK BACK ARM LEG OTHER
I am being treated for
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
OFFICE RECEPTIONIST
WAITING TIME / SCHEDULING
WAITING AREA(NEAT/ ORGANIZED)
 
 
How satisfied are you with THERAPIST:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Spends enough time with me
Answers all my questions/ concerns
Treats me respectfully
 
 
Overall Satisfaction:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
I would return to this facility for future care
I would recommend this facility to family and friends
Overall Personal Experience
 
 
 
Comments/Suggestions: