Physician Survey

Physician Information

Type of Physician

If other selected, please specify:

Clinical Locations

Please rate Comprehensive Therapy on the following

5 = Excellent 1 = Poor

Patient Care:

Timeliness:

Staff Courtesy:

Care from Therapists:

Convenience of location:

Rate patient satisfaction with Comp. Therapy:

Rate Comp. Therapy vs. other therapy clinics:

Efficiency in completing reports:

Ease of reaching therapists or staff members:

Overall Experience:

General Health Care Questions:

5 = High Priority 1 = No Concern

Importance of Therapy Clinic being in patient's Health Care Plan:

Importance for getting a patient in the same day:

Importance of flexible hours for scheduling patients:

Access to Patient information via the Internet:

What information would you like access to from the Internet?

Would you be interested in any of the following programs for your patients: (Check all that apply)

If other is selected, please specify: