Patient Survey
Your satisfaction with the care you received during your visit to Physical Therapy at Briarcliff & Jefferson Valley, P.C.
is very important to us. Please let us know how we are doing so that we can improve our services to you.
Please spend a few minutes to complete and submit this survey.
Your ratings and comments will be greatly appreciated.
Rating Scale
5- Very Satisfied
4- Satisfied
3- Neutral
2- Dissatisfied
1- Very Dissatisfied
Name of therapist who was your primary caregiver:
Staff
Attitude
1. Courtesy of office and administrative staff
2. Courtesy of
physical therapist
3. Courtesy of physical therapy aide
4. Concern of
therapist for my well being
Professional
Demeanor
1. My therapist listened carefully to my concerns.
2. The evaluation
and treatments I received were clearly explained.
3. The therapist encouraged me to set goals for my rehabilitation.
4. Responses were clearly provided for all my
questions and concerns.
5. My therapist spent adequate time with me.
6. My therapist was courteous,
respectful and seemed concerned about me.
Quality
of Service
1. My initial evaluation was scheduled
within 48 hours or within my desired time frame.
2. Appointments
were scheduled to my convenience.
3. When I arrived for my appointment,
my therapy session began promptly.
4. I had trust
and confidence in my therapist.
5. Service and attention was consistent.
6. I am pleased with my physical therapy progress.
Facilities
1. Cleanliness of facility
2. Positive atmosphere of staff
3. Adequate parking
4. Convenience of office location
5. Convenience of office hours
Other
1. Cost of treatment
2. Handling of
insurance matters by administrative staff
3. Handling by billing staff
4. Communication over the telephone with us was professional and courteous.
Overall
1. What was your overall
impression of Physical Therapy at Briarcliff & Jefferson Valley, P.C.?
2. What could we have done
to make your visits better?
3. What did you like most
about Physical Therapy at Briarcliff & Jefferson Valley, P.C.?
4. What did you
like least about Physical Therapy at Briarcliff & Jefferson Valley, P.C.?
5. If any individual gave you
outstanding attention, please let us know so we can commend
that person. Also, if you wish to share any constructive
criticism, let us know, and we will seek appropriate solutions.
6. Please include any additional
comments.
7. Would you refer someone
to Physical Therapy at Briarcliff & Jefferson Valley, P.C.?
Yes
No
Why or why not?
