Patient Satisfaction Survey

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How were you referred to IPTS? (required)


DoctorAdvertisementFamily / friendIPTS patientOther


If Other, please describe


Do you feel you are treated in a professional manner at IPTS?

YesNo

Comment:




Is the staff friendly and professional?

YesNo

Comment:



Do you feel comfortable while you are here at the IPTS facilities?

UncomfortableComfortableVery Comfortable

Comment




Do you find the IPTS office clean and neat?

Not CleanSomewhat CleanVery Clean

Comment:



Do you have to wait to see a physical therapist when you come to IPTS? If so, how long?

YesNo

Comment:



Do you feel you are given an adequate amount of time with the physical therapist?

YesNo

Comment:



Do you feel your condition is improving through the course of your treatment at IPTS?

YesNoUnsure

Comment:



What physical movements and activities can you do now that you were not able to do prior to treatment at IPTS?




Are there any physical therapy services you require that IPTS does not offer?
YesNo

Comment:



Are there any changes in our services we can make to better satisfy you as our patient?

YesNo

Comment:



Would you refer others to IPTS? If no, why?

YesNo

Comment:



Would you come back to IPTS? If no, why?

YesNo

Comment:



Name


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