Outpatient Rehab Questionnaire
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Please answer the following questions on a scale of 1-5.

(1 being least satisfied, 5 the most satisfied)

How would you rate the professional behavior of the therapy staff?
How would you rate the professional appearance of the therapy staff?
How would you rate the results of your therapy treatment in achieving your goals?
How would you rate the cleanliness of the therapy department?
How would you rate the comfort of our waiting room?
Was the wait time to see the therapist acceptable?
Please rate the scheduling of your initial visit in meeting your desired time and date.
Were your follow up appointments scheduled to your satisfaction?
Would you recommend our facility to your family/friends if in need of physical/occupational therapy?
Please let us know if there is anything you feel we should improve on or add any comments if you wish.

Thank you for completing this questionnaire!

Your feedback will enable us to continually improve our service.


Wells House Rehab

Your Community Physical and Occupational Therapy Specialists