Patient Survey

1. When scheduling, the appointment times offered to me were convenient.
   Yes No
2. I was told about patient forms available on the website to complete in advance if I wanted.
   Yes No
3. I was greeted in a friendly manner when I arrived at the office.
   Yes No
4. The clinic's billing and payment policies were explained to me in terms that I understood.
   Yes No
5. My treatment was started promptly when I arrived for scheduled appointments.
   Yes No
6. The staff was professional and courteous.
   Yes No
7. The staff seemed interested in me and my progress and was available to answer my questions.
   Yes No
8. I understood the COMPASS™ Program and how my participation in therapy was an important part of achieving my personal health and functional goals.
   Yes No
9. The treatment I received has improved my condition/injury.
   Yes No
10. Overall, I was satisfied with my experience at Reading-Berks Physical Therapy.
    Yes No
11. I joined the Ambassador Club and will recommend physical therapy at Reading-Berks to my friends and family.
    Yes No
12. Please share any additional comments, concerns or experiences here:
    

Name of your physical therapist:

Office Location:

Your name (welcome but completely optional):