Redmond Physical Therapy  8495 161st Ave NE   Redmond WA  98052    ph: (425) 881-3001   fax: (425) 881-3585

 

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Redmond Physical Therapy is genuinely concerned with your satisfaction with our service and quality.  Please take several minutes to complete the following short survey and let us know how to further enhance your experience at our facility.  We value all feedback you can provide. All information is strictly confidential for management. 

 

 

 

Physical Therapist:

1) Which Therapist did you see at Redmond Physical Therapy?

Ken Crinklaw   Benjamin Wobker  Clyde Arias  Mandie Majerus  Eric Kruger Suzanne Soine

2) How would you rate your experience with this therapist?

 Excellent        Very Good        Good        Fair        Poor

3) How would you rate your therapist's explanation of rehabilitation and your diagnosis?

Excellent        Very Good        Good        Fair        Poor

4) What was the quality of  your home exercise program instruction and progression?

 Excellent        Very Good        Good        Fair        Poor

5) How would you rate your therapist's willingness to listen to your concerns/questions?
        Excellent        Very Good        Good        Fair        Poor     

Additional Comments Regarding your Therapist or the Aides:

Checking here will ensure your comments, although anonymous will reach the physical therapist

Front Office:

1)How would you rate your experience with the Front Office?

Excellent        Very Good        Good        Fair        Poor

 

2) How would you rate the ability to get an appointment?
       
Excellent        Very Good        Good        Fair        Poor     

   

3) Which day of the week do you prefer your appointments?

        Monday     Tuesday    Wednesday     Thursday     Friday   Saturday  Sunday

 

4) Was the front office attentive to your needs

       Excellent        Very Good        Good        Fair        Poor

 

5) How did you hear about us?

         Yellow Pages       Insurance      Web      Friend/Acquaintance     Doctor

         Other 

 

6) Upon arrival, how would you rate the friendliness and prompt attention by the staff?

        Excellent        Very Good        Good        Fair        Poor 

 

7) How would you rate the explanation of cost and insurance coverage?
        Excellent        Very Good        Good        Fair        Poor     

Additional Comments Regarding Front Office Staff, Hours, or Billing Department :

Overall

 

1) How would you rate your overall satisfaction with Redmond Physical Therapy?
        Excellent        Very Good        Good        Fair        Poor     

 

2) Based on your experience, would you return to Redmond Physical Therapy for your future needs?
                     Yes      No

 

3) Based on your experience, would you recommend friends and/or family to Redmond Physical Therapy?
                     Yes      No

 

4) Do you have any recommendations or general comments that could improve the performance of our office?

Checking here allows us to publish selected comments on our webpage with your name if desired

 

*Name and contact information is optional and information will remain confidential.

First Name

Last Name

Home Phone

E-mail

 


Redmond Physical Therapy
Copyright © 2006. All rights reserved.
Revised: 11/04/08.

physical t Redmond Physical Therapy  8495 161st Ave NE   Redmond WA  98052    ph: (425) 881-3001   fax: (425) 881-3585