Rate your response to the following questions from 1-5.

1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent

                               PLEASE COMPLETE OUR SHORT SURVEY BELOW


2. How would you rate the quality of care given to  
    you by your physical therapist?
1. How would you rate the clinical knowledge of
    your physical therapist?

3. How would you rate the facility?

4. Overall, how would you rate your experience at   
    FOCUS PHYSICAL THERAPY?



5. What is the likelihood you would refer a
    friend/family member to FOCUS?

Your Personal Comments - Please Let Us know?
A. Cleanliness

B. Location
C. Equipment

D. Parking

Connecicut Physical Therapists -  Connecicut Physical Therapy -  Connecicut Physical Therapist - Connecticut Sports Medicine
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor
2 = Unsatisfactory/Below Average
3 = Satisfactory/Average
4 = Good
5 = Excellent
1 = Poor