Rate our services

---

In an effort to continually improve our services we invite all patients to send us their feedback - good or bad. We truly want to know where we can improve and what makes you happy. So, please take a couple of minutes to fill out this form as honestly as you can.

We have a ZERO SPAM policy, which means we only use your information as directed by you.

	What is your name (optional)
	E-mail
	Which therapist did you see?
	Which office did you visit?	HobokenClifton
	Was this your first experience with physical therapy	Yes No
	Rate your overall experience	select...2 star3 star4 star5 star
	It was easy for me to get an initial appointment that was convenient for me.	Strongly agreeAgreeDisagreeStrongly DisagreeNo Opinion
	I was able to schedule regular appointments when it was convenient for me.	Strongly agreeAgreeDisagreeStrongly DisagreeNo Opinion
	Did someone talk to you about your insurance coverage before or at the time of your visit?	Yes No
	Was the facility staff helpful in dealing with your insurance company?	Yes No
	I found the front desk staff friendly, helpful, and courteous.	Strongly AgreeAgreeDisagreeStrongly DisagreeNo Opinion
	I found the facility to be clean and well maintained.	Strongly agreeAgreeDisagreeStrongly DisagreeNo Opinion
	If you asked, did you see the same therapist each visit?	Yes No
	Did you and your therapist work together to develop goals and treatment plan?	Yes No
	Did you feel the care you received was adequate to reach your goals?	Yes No
	What effect has therapy had on your condition?	ImprovedSomewhat ImprovedHad no EffectSomewhat WorsenedWorsenedNot Sure
	Would you recommend this facility to your friends and/or family?	Yes No
	I found my therapist to be helpful, and interested in talking to me about my treatment	Strongly AgreeAgreeDisagreeStrongly DisagreeNo Opinion
	My overall experience with this facility and staff was:	ExcellentVery GoodGoodFairPoor
	If you have any suggestions on how we might improve our services, or anything you particularly liked about our services, please let us know. Your suggestions and comments help us to improve.