Guenthner Physical Therapy
White Oak Office
5557 Cheviot Rd
Cincinnati, OH 45247
513-923-1700
Fax: 513-741-6631
Bridgetown Office
6061 Bridgetown Rd
Cincinnati, OH 45248
513-598-3202
Fax: 513-598-4125
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For Clients Healing Injuries, Restoring Lives.

Patient Satisfaction Survey

You recently received services from Guenthner Physical Therapy. To improve our quality of care, we need to hear from you. Your participation is appreciated. Please complete this form after your program is over. Thank you!

Directions: Please check the number that best describes your experience with the care you received.
Strongly Disagree = 1   Disagree = 2   Neither Agree nor Disagree = 3   Agree = 4   Strongly Agree = 5

1. My privacy was respected during my physical therapy care
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
2. My physical therapist was courteous
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
3. All other staff members were courteous
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
4. The clinic scheduled appointments at convenient times
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
5. I was satisfied with the treatment provided by my physical therapist
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
6. My first visit for physical therapy was scheduled quickly
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
7. It was easy to schedule visits after my first appointment
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
8. I was seen promptly when I arrived for treatment
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
9. The location of the facility was convenient for me
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
10. Parking was available for me
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
11. My physical therapist understood my problem or condition
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
12. The instructions my physical therapist gave me were helpful
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
13. I was satisfied with the overall quality of my physical therapy care
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
14. I would recommend this facility to family or friends
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
15. I would return to this facility if I required physical therapy care in the future
  Strongly Disagree
1
Disagree
2
Neither Agree nor Disagree
3
Agree
4
Strongly Agree
5
 
 
16. Do you feel that your treatment was terminated because of a limitation in your insurance coverage?
  Yes No
 
 
 
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