Satisfaction Survey

Please select the services you attendedPhysical TherapyOccupational TherapySpeech Therapy

Please indicate the name of the therapist who worked with you

Overall, how would you rate the service you received from the front office staff?ExcellentVery GoodGoodFairPoor

How well did your therapist listen to your needs and provided answer to your questions?Extremely wellVery wellSomewhat wellNot So wellNot at all well

How satisfied or dissatisfied were you with the amount of time your therapist spent with you addressing your needs?Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

How well did your therapist explain your treatment options and follow-up care?Extremely wellVery wellSomewhat wellNot so wellNot at all well

Overall, how would you rate the care you received from your therapist?ExcellentVery goodGoodFairPoor

How likely is it that you would recommend Fauquier Health Outpatient Rehab to a friend or family member?Extremely likelyVery likelyMay beUnlikelyNot at all likely

We would welcome any feedback or suggestions you may have done to enhance your experience here. You may make multiple selections.Reduced wait timesMore equipmentImproved communicationImproved discharge instructionsImproved patient-therapist interactionImproved privacyMore SpaceNo Suggestions

Additional Comments:

Patient Experience Survey

If you would like us to contact you to discuss your experience, please provide us with your name and contact information.