Mizuta & Associates Physical Therapy Patient Satisfaction Survey

Mizuta & Associates Physical Therapy Patient Satisfaction Survey
Thank you for choosing Mizuta & Associates Physical Therapy for your care. We value your feedback and would appreciate it if you could take a few minutes to complete this survey. Your responses will help us improve our services and ensure the highest quality of care for all our patients.
How satisfied were you with the following aspects of your care?

Please select the appropriate response
1. Ease of scheduling appointments:
2. Wait time before being seen:
3. Friendliness and professionalism of the front office staff:
4. Quality of care provided by your physical therapist:
5. Effectiveness of treatment in addressing your condition:
6. Communication and explanation of your treatment plan:
7. Did you feel that your physical therapist listened to your concerns and adjusted your treatment plan accordingly?
8. How likely are you to recommend Mizuta & Associates Physical Therapy to others?
9. What aspect of your care were you most satisfied with?
10. What aspect of your care could we improve?
11. Do you have any additional comments or suggestions?
12. Would you be willing to provide a testimonial for our website?
Name

First NameLast Name
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How satisfied were you with the following aspects of your care?