Omega Rehab & Physical Therapy

Patient Satisfaction Form

Please take a moment to complete this survey regarding your experiences during your physical therapy treatment. Thank you.


How would you rate your physical therapy experience with Omega Rehabilitation Services? (Required)

Email (Required):

Your Name:

Which office did you visit?:

Please rate the following (scale of A to E, with A being best)

Were the Omega staff polite and helpful on the phone?

Did we schedule your therapy in a timely mannor?

Were the Omega staff professional during every area of your visit?

Were all your questions addressed thoroughly and to your satisfaction?

How would you rate the attentiveness of your physical therapist?

How would you rate your overall experience with Omega Rehabilitation?

Would you refer Omega Rehabilitation to family and friends?

If no, would you allow us to contact you and ask why, so we can improve our service?

What did you like about Omega's physical therapy services?

What could we change to make our physical therapy service better?

We would love to have your physical therapy testimonial. Please write a short testimonial if you have the time.

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