WEBMAIL • INTRAIPT Patient Satisfaction Survey At which location did you receive services? Please Select Angola Clinic Auburn Clinic Bluffton Clinic Brooklyn Clinic Dupont Clinic Southwest Clinic Stellhorn Clinic New Haven Clinic Women's Health Clinic Prefer not to answer Who was your therapist? Please Select Abby Ault Julia Bahrke Amy Biedenbach Nicole Bobay Bryan Bourcier Crystal Bourcier Abby Brandenberger Margaret Bryden Mary Brock Steve Connelly Paula Enyeart Tara Evans Heather Harshman Nicole Henline Stephanie Hine Joe Keane Dave Kuhn Chris Leeuw Jim Leslie Chrissy Machielson Brian Roth Cindy Ruich Tami Scheuman Karena Schroeder Troy Smith Matt Snyder Brian Stockman Todd Sullivan Ben Swinehart Erin Thomas Andy Vogel Terra Williams Ruth Wojtkowiak Prefer not to answer The front desk was friendly, helpful and professional. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory It was easy to schedule my appointments. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory My therapist was knowledgeable and professional. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory My therapist listened to my concerns and answered all questions regarding my treatment. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory I was satisfied with the treatment provided by my therapist. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory The appearance of the clinic is clean and well maintained. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory Billing is understandable or my questions were answered. (required) Exceeded My Expectations Satisfactory Less Than Satisfactory I will recommend Indiana Physical Therapy to others: (required) Yes No What did you like best about the clinic? What can we do to improve your overall experience? Would you like to be contacted by an IPT Representative concerning your experience? (required) Yes No Your Name:   Your Email: Enter Code 100421

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