Satisfaction Survey

Thank you for choosing Northern Edge Physical Therapy. Your complete satisfaction is important to us. Please take a moment to complete this brief survey. We appreciate your feedback. All feedback received will be kept strictly confidential and used to ensure total satisfaction on future visits.

Fields marked with an * are required

This is just in case we have any followup questions to improve our services.

(Optional) If you prefer us to call you with followup questions you may provide your phone number

RECEPTION

Please rate how well you agree with the statements below on on a scale of 1 to 5, where 1 is "highly disagree" and 5 is "highly agree"

TREATMENT (THERAPIST)

Please rate how well you agree with the statements below on on a scale of 1 to 5, where 1 is "highly disagree" and 5 is "highly agree"

SUPPORT STAFF (AIDE/EXERCISE TECH)

Please rate how well you agree with the statements below on on a scale of 1 to 5, where 1 is "highly disagree" and 5 is "highly agree"

OVERALL

COMMENTS