Powered by E-rehab
Survey - Performance Therapeutics
*Which location/clinic were you treated at? Select a Value McAllen - South Edinburg Mission Elsa Weslaco Harlingen Rio Grande City Roma Brownsville Eagle Pass San Antonio Del Rio Building Blocks Corporate Office *What percent improvement did you experience with treatment? Select a Value 76-100% 51-75% 25-50% No Better *How soon were you able to make your first appointment? Select a Value Same Day Within 2 days Within 1 week Within 2 weeks   Very Good Good Average Below Average *The courtesy you experienced with our front office staff was? *Ease of scheduling? *The courtesy of our clinical staff was? *Explanation of your problem and how your therapist planned to help you? *Respect for my confidentiality/privacy? *Cleanliness? *Overall Quality of Care and Service? What did we do well with your care? What could we have done better? *Would you use us again?     Yes No *Would you recommend us to a friend?     Yes No *Does receiving our newsletter make you more likely or less likely to choose our services in the future? Select a Value More likely Less likely I don't receive the newsletter   * denotes required field
Powered by e-rehab