Patient Satisfaction Survey

We appreciate you choosing Excel for your rehab needs. Your satisfaction is important to us. Please let us know how your experience was so we can do our best to improve. Your review and comments are highly valued. Thank you!

Date:          
Therapist Name:          
Your name:          
 
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The time the therapist spent with me during the initial evaluation
The communication between myself and the therapist in setting my goals
Explanation of therapy treatment and expected benefits
The staff concern for my privacy
Helpful information given to myself and family about my condition
Staff’s attention to personal and special needs
Meeting my personal goals
Staff was friendly, courteous, and professional
There was minimal waiting time for my therapy session
Overall satisfaction with my progress
Overall satisfaction with therapy services
 

Would you recommend Excel to friends and family?  Why or why not?

Did you receive outstanding attention from any of our staff members?  If so, please share with us so we can commend him/her.  Also, if you have any constructive criticism for any of our staff, please let us know that as well.

Additional comments/suggestions: