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Patient Survey

At First State Rehab, we are constantly focusing on ways to improve our service to our patients and referring physicians. Please take a moment to let us know how well we are doing and what we can do to improve our services by completing this short survey.

Please rate the survey questions below based on the following scale.
N/A = Not Applicable   1 = Unsatisfactory   2 = Fair   3 = Average   4 = Good   5 = Excellent

  1. Was our office staff friendly and helpful on the phone with you?
    N/A12345
  2. Did the practice have appointments at convenient times for you?
    N/A12345
  3. Was it easy to schedule your appointments?
    N/A12345
  4. Did your therapist arrive at the appointed time?
    N/A12345
  5. Was your therapist courteous and helpful?
    N/A12345
  6. Did your therapist fully explain your problem and how they would treat it?
    N/A12345
  7. Did you receive a home program and were you instructed properly in activities to do at home?
    N/A12345
  8. Would you recommend this practice to your friends or family?
    N/A12345
  9. Will you utilize First State Rehab if future care is needed?
    N/A12345
  10. How was your overall satisfaction with your experience with the Practice?
    N/A12345
  11. Please share your comments: