Sports Physical Therapy of New York, PC

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Patient Satisfaction Survey

Thank you for choosing Sports Physical Therapy of New York, PC as your physical therapy provider. We truly value you as our patient and would like to continue to provide outstanding service to you EVERY VISIT! Your honest feedback is appreciated. Please help us to exceed your expectations by filling out this brief survey. Thank you for your time.

At which location were you treated? (Required)

Name of your Referring Physician

Courtesy of office personnel
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Courtesy of clinical staff
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Phone etiquette of front office staff
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Clinician introduced him/herself to me personally
Yes No

The evaluation and treatment I received was explained in a clear and helpful manner
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Helpful responses were provided for my questions and concerns
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

My initial evaluation was scheduled within 24-48 hours or within my desired time frame
Yes No

Appointments were scheduled to my convenience
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

When I arrived for my appointment the service began promptly
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

I received enough individual attention from my therapist
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

My home exercise program was updated at each visit
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

My clinician communicated with my doctor regarding my therapy progress
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Please rate the improvement in your condition due to physical therapy
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Cleanliness of facility
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Atmosphere
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Equipment type and availability
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Parking
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Accessibility by car or mass transit
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Paperwork and procedures were explained in a clear and helpful manner
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Handling of billing and co-pays
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

What was your overall impression of SportsPT?
Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

What could we have done to make your visit better?

Would you refer someone to SportsPT?
Yes No

Would you recommend that your physician refer patients to SportsPT?
Yes No

Can we share your comments as testimonials or with your referring physician?
Yes No

Name (Firstname Lastname) (Required)

Contact Email (Optional)

Comments

I authorize Sports PT to publish my comments on their website and/or print materials, along with my first name, last initial and city/town.
Yes No