Integrated Rehab | Patient Experience Survey

PLEASE ENTER YOUR THERAPIST'S NAME (OPTIONAL):

PLEASE ENTER YOUR NAME (OPTIONAL):

Was this therapist courteous and respectful?*

Did the therapist listen to your concerns and address them in a reasonable time frame?*

Did the therapist help you to function at your “best” level with consideration of your health issues?*

Would you recommend this therapist to a friend or family member?*

Please rate your overall level of satisfaction with the therapy services*

Comments*

Name

This field is for validation purposes and should be left unchanged.

Patient Experience Survey