Patient Satisfaction Survey

1. The location of Evolve was convenient and easy to find Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 2. It was easy and convenient to schedule all of my appointments. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 3. My telephone calls to Evolve were handled to my satisfaction Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 4. Our reception area was comfortable. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 5. My questions about fees and insurance coverage were answered to my satisfaction. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 6. The length of time waiting for my physical therapist was acceptable. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 7. My physical therapist was courteous and respectful. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 8. My physical therapist created a comfortable environment. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 9. My physical therapist explained my diagnosis to my satisfaction and gave me a chance to ask questions. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 10. The instructions my physical therapist gave me were helpful in my exercises. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 11. I was satisfied by the treatment provided by my physical therapist. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 12. My home program/stretching is clearly presented and easy to follow. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 13. I feel that an adequate amount of time was spent with me. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 14. I was satisfied with the overall quality of care provided by Evolve. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 15. The overall appearance and cleanliness of Evolve met my standards. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 16. The noise level and atmosphere was suitable for physical therapy. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 17. I would recommend Evolve to my family or friends. Yes Maybe No 18. I would return to Evolve if I required physical therapy in the future. Yes Maybe No 19. The cost of physical therapy was reasonable. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied 20. Evolve met my expectations. Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied What was the best part of your experience at Evolve? Please type in your response. What was the least desirable part of your experience at Evolve? Please type in your response.

Please indicate your level of satisfaction with each item. We value your comments and suggestions, and will utilize your feedback in order to improve and enhance our services. Click the "submit survey" button at the bottom of the page when you are finished. Thank you! You may include your name, but only if you wish to do so.