At Body Werks Physical Therapy, we constantly strive to  provide the highest level of care to meet our patients' needs. Your comments  will help to improve our services. Please take a minute to complete and submit our Patient Satisfaction Survey.

Clinician's Name :
Courtesy of Clinician:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
Concern of Clinician for Well-Being:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
The evaluation and treatment I received was explained:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
The clinician was respectful and seemed concern about me:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
I did not feel afraid to ask my clinician questions regarding my care:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
My initial evaluation was scheduled within my desired time frame:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
I had trust and confidence in my clinician:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
When I arrived at my appointment, the service began promptly:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
My clinician communicated with my doctor regarding my progress:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
Body Werks facilities are neat and clean:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
The atmosphere of Body Werks is positive and encouraging:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
The parking facillities are adequate and accessible:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
Body Werks is in a good location for me:	Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
What was your overall impression of Body Werks Physical Therapy?:
What could have been done to make your visit better?:
What did you like most about Body Werks Physical Therapy?:
Would you refer someone to Body Werks Physical Therapy?:	Yes No