Patient Satisfaction Surveys

At which location did you receive services? =Select your Clinic=Angola ClinicAuburn ClinicBluffton ClinicCarroll Rd ClinicColumbia City ClinicDecatur ClinicElkhart ClinicGoshen ClinicQuimby Village ClinicClinton Mayhew ClinicHuntington ClinicKendallville ClinicIllinois Road ClinicNew Haven ClinicWest Jefferson ClinicStellhorn ClinicWarsaw ClinicAvon ClinicSouth Emerson ClinicPrefer not to answer

Who was your therapist?=Select your Therapist=Abby AultMegan AzzarelloEd BallEmma Beauchamp-LeavellDanny BeckerAmy BorkoskySarah BoutcherAbby BrandenbergerConnor BresnahanAlyssa BuchmanBarbara BuisJarred BurnsJosh ButcherShawna CarboneBethany CavanaughEvan CochranStephen ConnellyJessica ConradBecca ConradJennifer CookCody CraigHannah EnochsPaula EnyeartKirsten FerriganKayla FiferKylie FlemingAaron FrankeRuth FreemanJoya FrelinChelsea FritchKaylee GaiserSophie GerberAshley GraberLeigh Ann GreenAllison GuitarJason HarlessHeather Harshman-TurkStephanie HineMary HostetterZach HueyRachel JacksonKen JohnsonTroy KaiserJoe KellerLaurel KnechtBrittany KnightHannah KnouseEmily KranerDave KuhnMargaret KurtzKendall LaBrashChris LeeuwJim LeslieKelsey LinChrissy MachielsonCourtney MarlowMarion MelcherTara MeyerMegan MeyerRachel MichaelLisa Michaud GlennAndy MisnerJustice MontgomeryDerek MumawAngie OverdeerTaylor PenningBrad PenningEmily PerkinsAndrew PerkinsChrystal PrangerBreanna PryorColleen QuigleyDaniel RicoEmma RiffeBrian RothScott RuseMarisa SalmeriKarena SchroederMorgan SchulzMark SextonAmber ShattoHolly SheetsTroy SmithLori SnodgrassAshley StechschulteAlexander StrahleKevin SublerTodd SullivanKristin SwinehartBen SwinehartLeeAnn TaylorErin ThomasEmily TrahinMaria TrahinAndy VogelLindsey WellsLindsay WhiteLyndsay WhiteTerra WilliamsElizabeth WinnGrant YoderJana YoderAlexia ZawadzkeLindsay ZehrJensen ZumbaughPrefer not to answer

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:

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