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We are interested in learning from our patients how we might improve or enhance our services. Please take a few minutes
to complete this questionnaire. Any additional input is welcome at the bottom of the survey in the "comments"
section. When you click "submit" your completed survey will be emailed to our practice.
Required fields are marked with *
How did you learn about this facility?
Please check the location of the problem for which you received physical therapy. (Check all that apply)
Please rate your degree of satisfaction with each of the following statements:
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