PATIENT SATISFACTION SURVEY

We would like to thank you for choosing Northwoods Therapy for your healthcare needs. We value your feedback, so please take a moment to answer the following questions.

Please rate the following based on your recent experience at Northwoods Therapy Associates. Rate on a scale of 1-5 with 1=Not Applicable, 2=Strongly Disagree, 3=Disagree, 4=Agree, 5=Strongly Agree.

E-mail Address: *
FRONT OFFICE
The waiting room and therapy area were clean and neat. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Scheduling my initial evaluation was easy and timely. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The front desk staff was courteous and helpful. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I was offered convenient options for appointment times. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I did not have to wait long in the waiting room. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The office staff was attentive to my needs. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The billing staff was friendly and helpful. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Comments:
TREATMENT
The physical therapist (PT)/physical therapist assistant (PTA) was knowledgeable and professional. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The PT/PTA showed concern for me. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The PT/PTA spent enough time with me. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The PT/PTA was willing and able to answer my questions. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The PT explained the assessment and discussed my plan of care. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
The aide that assisted with my treatment was courteous and friendly. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
My therapy usually began close to my appointment time. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I have a clear understanding of what exercises and activities I should and should not be doing. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I did all that my therapist asked me to do to help myself get better during my course of treatment. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
I was given a written home exercise program which was clear to me and easy to follow. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Overall, I am satisfied with my experience in therapy. *
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
Comments:
Please check primary therapist(s) with whom you worked: *
Mary
Mike
Kris
Amy
Becky
Kathy
Bruce
Denny
Ryan
Lauren
Tessa
Krissa
Your name (optional)
Verification Code:
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Thank you for taking time to complete this confidential survey. Your e-mail address will remain anonymous.