Patient Satisfaction Survey In order to provide you with the best physical therapy services possible, we want to know how well we are doing. Please take a few minutes to provide us with valuable feedback by answering a few questions. Thanks! General Information Ease of Contacting Clinic (phone, email, etc.) ---ExcellentGoodFairPoorVery Poor Convenience of Appointment Times ---ExcellentGoodFairPoorVery Poor Convenience/Condition of Parking ---ExcellentGoodFairPoorVery Poor Length of Wait Time to See Therapist ---ExcellentGoodFairPoorVery Poor Appearance of Office ---ExcellentGoodFairPoorVery Poor Office Personnel Courtesy of Office Staff and Enthusiasm to Assist at All Your visists ---ExcellentGoodFairPoorVery Poor Ability to help you with questions regarding your medical insurance ---ExcellentGoodFairPoorVery Poor Ease of making payment / copayment on your account ---ExcellentGoodFairPoorVery Poor Physical Therapy Staff Courtesy of your Physical Therapist ---ExcellentGoodFairPoorVery Poor Genuine interest of your Physical Therapist in helping you resolve your complaint ---ExcellentGoodFairPoorVery Poor Explanations of excercises and equipment ---ExcellentGoodFairPoorVery Poor Efficiency of an average treatment session ---ExcellentGoodFairPoorVery Poor Confidence in your Physical Therapist's knowledge-base and skills ---ExcellentGoodFairPoorVery Poor Overall Satisfaction How would you rate your overall experience? ---ExcellentGoodFairPoorVery Poor Who was your Physical Therapist? ---Matthew C. SmithJason Rackmil What is your name? Would you recommend Buffalo Back & Neck Physical Therapy to a friend? ---YesNo Any Additional Comments - Please note that these comments may be used as a testimonial on our website. Thank you for your time. Please feel to contact us with any problems or questions in the future. We will be happy to assist you. Δ
