Physical Therapy and Rehabilitation Feedback

We want to hear from you!

It is our privilege to care for you and your loved ones. Our goal is to treat each individual uniquely with kindness, respect and empathy — always. Please fill out the form below and let us know how we did.

Date

First Name

Last Name

(Select the options below from 1 to 5, with 5 being the best.)

Treated you with respect/dignity:

Response to your concern/complaints:

Helpfulness with the registration process:

Staff's explanation of test/treatment:

Comments:

Information you share is always confidential.

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