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How would you rate your overall experience with OMPT Specialists?
Excellent
Good
Fair
Poor
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Patient's Name:
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/50
Would you allow us to use your testimonial?
Yes
No
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Which location did you visit?
Auburn Hills
Commerce Township
Macomb
Plainwell
Rochester
Royal Oak
Shelby Township
Southfield
Traverse City
Troy
Troy-UnaSource
Washington Township
Have you been to other Physical Therapy clinics before coming to OMPT Specialists?
Yes
No
If you answered YES to the question above: Please describe how OMPT was different than your previous experience.
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/500
Please rate the following questions with 1 through 5. (1 being the worst and 5 the best) Telephone Demeanor: Was the staff polite and courteous on the phone?
1
2
3
4
5
Convenience of Appointment: Did we schedule you promptly?
1
2
3
4
5
Was the staff courteous and professional during every aspect of your visit?
1
2
3
4
5
Were all your questions/concerns addressed thoroughly and to your satisfaction?
1
2
3
4
5
How would you rate the sensitivity and attentiveness of your therapist?
1
2
3
4
5
Do you feel positive enough about our services to refer friends and family?
Yes
No
What did you like about our services? Please give us your personal comments or testimonial.
0
/500
Please comment on anything regarding our services that we might change to make future patient experiences even more positive.
0
/500
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