Orthopedic and Sports Physical Therapy Center ::: Niceville, Bluewater Bay, Crestview, Destin, Santa Rosa Beach

1. Was the front office/receptionist courteous and helpful?
Yes No

If not, what problem(s) did you encounter?

2. Were your insurance coverage and billing procedures explained to you?
Yes No

If not, what problem(s) did you encounter?

3. Do you feel our office hours were adequate to meet your needs?
Yes No

If not, what problem(s) did you encounter?

4. Did you have any problems scheduling the appointment?
Yes No

If not, what problem(s) did you encounter?

5. Please rate the OSPTC on:

	Above Average	Average	Poor
Cleanliness of Facility
Comfort of Waiting Area
Adequate Equipment
Privacy During Care
Therapist Knowledge of Your Problem

6. Would you consider OSPTC for any future services?
Yes No

7. Following your physical therapy treatments, do you feel your problem or complaint has been:
Improved Somewhat Improved Not Improved Made Worse

8. Were you completely satisfied with the overall care you received?
Yes No

9. Would you recommend OSPTC to a family member or friend?
Yes No

10. Please take a moment to let us know of any expectations we failed to meet or successfully met and exceeded.