Patient Survey

At Peak Motion Physical Therapy, 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 to you 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 staff friendly and helpful on the phone with you?
    N/A12345
  2. Have all office staff members been courteous and helpful?
    N/A12345
  3. Were your benefits adequately explained to you?
    N/A12345
  4. Have the office and treatment areas always been clean and comfortable?
    N/A12345
  5. Did the clinic have scheduled appointments at convenient times for you?
    N/A12345
  6. Was it easy to schedule your appointments?
    N/A12345
  7. Were you always seen promptly when you arrived for treatment?
    N/A12345
  8. Was the check-in process prompt and efficient?
    N/A12345
  9. Was your therapist courteous and helpful?
    N/A12345
  10. Did your therapist fully explain your problem and how they would treat it?
    N/A12345
  11. Did you receive a home program and were you instructed properly in activities to do at home?
    N/A12345
  12. Would you recommend this facility to your friends or family?
    N/A12345
  13. Will you return to Peak Motion Physical Therapy if future care is needed?
    N/A12345
  14. How was your overall satisfaction with your experience in therapy?
    N/A12345
  15. Please share your comments: