Patient Satisfaction Surveys

Thank you for choosing Indiana Physical Therapy as your therapy provider. As we try to make your visit with us positive and productive, we are also open to your suggestions on how to improve our service to you.

    At which location did you receive services?

    Who was your therapist?

    Why did you choose to have your therapy done at Indiana Physical Therapy?
    ReputationInsurance/EmployerDirected by your PhysicianLocationAdvertisement (TV, print, billboard, etc)Other, please explain

    Was the phone etiquette of the front desk courteous?
    Exceeded my expectationsSatisfactoryLess than satisfactory

    Was the front desk staff friendly, helpful and professional?
    Yes, I was greeted promptly and given concise and professional helpNeutralNo, the office staff could have improved in all three areas

    Please explain any observations that could improve your experience

    How would you rate the courtesy and efficiency of our front office staff?
    They were very courteous, friendly and my check-in/out was quick and efficientThey were friendly but not efficient during the check-in/out processNeutralThey were efficient and prompt, but could improve friendliness while checking in/outThe staff was neither friendly nor efficient

    Please explain any observations that could improve your experience

    Were your registration forms, benefits and IPT policies adequately explained?
    Exceeded my expectationsSatisfactoryLess than satisfactory

    Was the appearance of the clinic and front office clean and well maintained?
    Exceeded my expectationsSatisfactoryLess than satisfactory

    Please explain any observations that will help IPT improve in this area

    Was your billing for services explained, understandable and any questions adequately answered?
    Exceeded my expectationsSatisfactoryLess than satisfactory

    Please explain any observations that will help IPT improve in this area

    Have you had physical therapy at another provider before?
    YesNo

    If yes, where?

    Did the IPT therapist explain in a clear and helpful manner your evaluation and treatment?
    Exceeded my expectationsIt was explained but I felt it was too technical and I did not understand the treatment completelyNo, I was not comfortable with the explanation and/or the explanation did not satisfy my questions moving forward in treatment

    Please explain any observations that could improve your experience

    What did you like best about your experience at Indiana Physical Therapy?

    In what areas can Indiana Physical Therapy improve to make your experience better?

    Overall, were you satisfied with your experience at Indiana Physical Therapy?
    Exceeded my expectationsSatisfactoryNeutralSomewhat dissatisfiedVery dissatisfied

    Please explain any observations that could improve your experience

    Would you like to make any additional comments, recommendations or share a positive experience of one or more of the IPT staff during your time at Indiana Physical Therapy?
    YesNo

    If yes, please use the box below to continue:

    May Indiana Physical Therapy share any comments on our website and/or other marketing material in the future?
    YesNo

    If yes, please use the box below to continue:

    Would you like to be contacted by an IPT representative concerning your experience?
    YesNo

    Your name Your Email: