Satisfaction Survey

Patient Name

Evaluation Date

Therapist

Below are several questions about the care you received at Bothell Pediatric &Hand Therapy. Please answer each question by checking the box that best indicates your opinion. If the patient is a minor/child or cannot complete the survey, a family member may do so for him or her. Your answers will help us to improve our services.

What brought you/your child into Bothell Pediatric & Hand Therapy?

How was that impacting your/your child's life?

How was your/your child's experience been at Bothell Pediatric & Hand Therapy? Did anything surprise you about the therapy?

What most impressed you?

How was it working with your/your child's therapist?

What can you/your child do now, that you/they were not able to do previously, as a result of your/their therapy?

How could we improve your service?

Do you feel the treatment you received for your condition  has helped you/your child progress toward functional goals?

Did the therapist adequately explain your diagnosis and treatment with you?

Were you satisfied with the thoroughness of care and treatment outcomes you received from the therapist?

Would you return to this facility?

How would you rate the overall quality of care you received?

Comments

May we publish your feedback and comments?

Satisfaction Survey

Resources

Are You Ready To Live Pain-Free?

Our Hours

Our Hours