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AthletiCo - Phyisical Therapy - Occupational Therapy

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Patient Satisfaction Survey

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- Very Satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very Dissatisfied

Providing quality care and service to our patients make up the foundation of AthletiCo. To demonstrate this commitment, we measure functional patient outcomes and patient satisfaction with national data comparison using a third-party outcomes system. As a patient, you will be asked to complete a health status and satisfaction questionnaire using an iPad® mobile digital device at admission, mid-way through treatment, and at discharge.

As your satisfaction is our highest priority, if you have further feedback you would like to provide, please take a minute or two to complete the following survey.

Your ratings and comments are greatly appreciated.

At which location were you treated?

Staff Attitude

1. Courtesy of office personnel

2. Courtesy of therapist or trainer

3. Courtesy of aide

4. Concern of therapist for your well being

Professional Demeaner

1. Clinician introduced him/herself to me personally

2. The evaluation and treatment I received were adequately explained
(i.e., expectations, time frames, etc.)

3. Responses were provided for my questions and concerns.

4. Respect for my dignity and feelings was handled appropriately.

5. The clinician was courteous, respectful and seemed concerned about me.

Quality of Service

1. My initial evaluation was scheduled within 48 hours or within my desired time frame.

2. Appointments were scheduled to my convenience.

3. When I arrived for my appointment, the service began promptly.

4. I had trust and confidence in my clinician.

5. Service and attention was consistent.

6. My clinician communicated with my doctor regarding my therapy progress.

Facilities

1. Cleanliness of facility

2. Atmosphere

3. Equipment type and availability

4. Parking

5. Convenience of location

Other

1. Cost of treatment

2. Handling of insurance by clinic staff

3. Handling by billing department

4. Timeliness and accuracy of billing

Over All


	1. What was your overall impression of AthletiCo?	2. What could we have done to make your visit better?

	3. What did you like most about AthletiCo?	4. What did you like least about AthletiCo?

	5. If any individual gave you outstanding attention, please let us know so we can commend that person. Also, if you wish to share any constructive criticism, let us know, and we will seek appropriate solutions.	6. Please include any additional comments.


	7. Would you refer someone to AthletiCo? Yes No Why or why not?

Thank You For Your Time


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Official Partner of Physical Therapy and Occupational Therapy

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AthletiCo Corporate Office: 625 Enterprise Drive, Oak Brook, IL 60523 / tel: 630-575-6200 / 1-877-ATHLETICO / email: info@athletico.com

Illinois, Milwaukee, and Northwest Indiana provider of physical and occupational/hand therapy

Patient Satisfaction Survey