This free survey is powered by
Create a Survey
Surveys
2015
April
D
Discharge Survey 2015
Discharge Survey 2015
Discharge Survey
0%
Exit Survey
Thank you for being a client of Conifer Physical Therapy. In an effort to serve you better, we would like to ask you a few questions about your experience with our clinic.
Your participation in this Discharge Survey is completely voluntary. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential. If you have questions at any time about the survey , you may contact Paige at (303)838-7444 or by email at
[email protected]
.
Thank you very much for your time and support. Please start the survey now by clicking on the
Continue
button below.
How did you hear about us?
Website
Mailer
Doctor
Friend / Family
Other
Who was your physical therapist?
Dana Amundson, PT, DPT
Mary Thuente, PT, MSPT
Tiffany Wolf, PT, DPT
Ease of scheduling appointments?
Outstanding
Okay
Needs Work:
How was your experience with the Front Desk?
Outstanding
Okay
Needs Work:
How was your experience with your Therapist?
Outstanding
Okay
Needs Work:
Was your billing handled appropriately?
No Problems
Had some problems but resolved
Had some problems - not resolved
Other
Yes
No
Would you return in the future if the need arises?
Would you recommend us to other?
*Optional - Your Name:
Any additional comments and/or Suggestions:
Loading...
close
Loading...
Close
qpweb2.questionpro.net