Paso Robles Physical Therapy
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Please take a moment to fill out our survey.
Patient Survey
How did you hear about Paso Robles Physical Therapy?
*
Internet Search
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Referred by Physician
Friend
Word of Mouth
Other
If Other please specify:
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Which clinic did you attend?
*
Paso Robles
Lake Nacimiento
Atascadero
2 or more clinics
How would you rate your overall experience at Paso Robles Physical Therapy?
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Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Please rate the following below:
Greeting you received each time you arrived
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Poor
Below Average
Average
Above Average
Outstanding
Cleanliness of the facility
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Poor
Below Average
Average
Above Average
Outstanding
Friendliness, hospitality, and professionalism of staff
*
Poor
Below Average
Average
Above Average
Outstanding
Satisfaction with your clinical care and the outcome of that care
*
Poor
Below Average
Average
Above Average
Outstanding
How likely are you to recommend us to family and/or friends?
*
Not at all Likely
Slightly Likely
Moderately Likely
Very Likely
Extremely Likely
How can we improve our services to better serve you?
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If you would like to leave a message for your Physical Therapist you may do so below.
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Thank you very much for input.
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Home
About
Orthopedics
Pediatrics
Neurologic
Pelvic Floor
Meet Our Staff
Testimonials
For Patients
Insurance
Forms
Your First Visit
Patient Survey
Telehealth
PD FIT
For Physicians
Insurance
Referral Forms
Contact
Patient Portal