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Patient Satisfaction Survey

Thank you for Choosing Physical Therapy Spine and Sports Medicine as your physical therapy provider. To help us continue to provide the highest quality of service at PTSSM, we are asking for you to take a few minutes of your time to fill out a brief survey. We strive to provide a positive experience that meets all of your expectations. Your feedback is greatly appreciated.

There are 10 Questions Total

Please rate your level of satisfaction with each of the statements below using the following scale:

1= very dissatisfied, 2= dissatisfied, 3= neutral, 4= satisfied, 5= very satisfied





Please rate your level of satisfaction with each of the statements below using the following scale:

1= very dissatisfied, 2= dissatisfied, 3= neutral, 4= satisfied, 5= very satisfied






Please rate your level of satisfaction with each of the statements below using the following scale:

1= very dissatisfied, 2= dissatisfied, 3= neutral, 4= satisfied, 5= very satisfied


Please rate the following statements below using the following scale:

1= Very unlikely, 2= Unlikely, 3= neutral, 4= Likely, 5= Very likely


Please rate the following statements below using the following scale:

1= Very unlikely, 2= Unlikely, 3= neutral, 4= Likely, 5= Very likely