Direct RehabMed - Feedback Survey

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We want your feedback! Let us know how we are doing so we can improve and provide you the excellence of service you expect!
TELL US ABOUT OUR DOCTORS
1.) How SATISFIED are you with the time spent by our physician with the patient?					. Very .. Somewhat .. Not At All .
2.) How SATISFIED are you with the explanation provided to the patient?					. Very .. Somewhat .. Not At All .
3.) How SATISFIED are you with the explaination and feedback provided?					. Very .. Somewhat .. Not At All .
4.) How SATISFIED are you with the overall care provided by our doctors?					. Very .. Somewhat .. Not At All .
5.) Rate your likelihood of referring a patient to Direct RehabMed in the future. (Rate 5-1, 5 being the highest)					. 5 .. 4 .. 3 .. 2 .. 1 .
6.) How does Direct RehabMed compare to other providers in the area for Workers Comp. patient care?					. Better .. About the Same .. Worse .
TELL US ABOUT OUR CLINIC
1.) In calling us for an appointment, were you able to get the patient into our office...					. within a day .. within 1 week .. within 2 weeks .... not able to set appointment .
2.) Was our location convenient to the patient?					. Yes .. No .
3.) How would you rate the time the patient spent in the office waiting to see the doctor?					. Short .. About Average .. Way Too Long .
4.) How SATISFIED are you with the front office staff?					. Very .. Somewhat .. Not At All .
5.) How does Direct RehabMed compare to other providers in speed of feedback to you?					. Better .. About the Same .. Worse .
6.) Were your phone calls returned in a timely manner?					. Yes .. No .
7.) What is the likelihood of referring patients to our clinic in the future?					. Very Likely .. Somewhat Likely .. Unlikely .
8.) What could we do to better meet our patients' needs?
TELL US ABOUT OUR PHYSICAL THERAPY
1.) How SATISFIED are you with the physical therapy provided?					. Very .. Somewhat .. Not At All .
2.) Do your patients report positive feedback to you regarding our care?					. Always .. Usually .. Sometimes .. Never .
3.) How would you rate the skills and competence of our therapists?					. Excellent .. Good .. Poor .
4.) What is the likelihood of you referring a patient to our physical therapy department?					. Very Likely .. Somewhat Likely .. Unlikely .
5.) Did you receive progress notes and reports in a timely manner from the therapist?					. Yes .. No .
6.) What improvements could we make to better serve you in our therapy department?
THANK YOU FOR HELPING US IMPROVE!
If you would like us to contact you to follow up on how we can improve, please provide us with your name, company, and phone number and we will call you at our earliest convenience.
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