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About Us
Our Team
Physical Therapy
Occupational Therapy
Speech Therapy
Developmental Disabilities Agency
Careers
Billing
Contact Us
About Us
Our Team
Physical Therapy
Occupational Therapy
Speech Therapy
Developmental Disabilities Agency
Careers
Billing
Contact Us
Patient Survey Form
How Satisfied are you with our company? (on a scale from 1 to 10)
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How satisficed are you with your therapist? (on a scale from 1 to 10)
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10
Based on your complete experience with our medical care facility, are you likely to recommend us to a friend or colleague?
Yes
No
Maybe
How would you rate your experience with scheduling an appointment with us?
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10
Location of Visits?
Twin Falls
Jerome
Burley
Were you informed of your insurance benefits regarding therapy?
Yes
No
Did your Therapist spend an adequate amount of time with you?
Yes
No
Please rate your satisfaction level regarding your experiences about your treatments from our facility:
Did not meet expectations
Met Expectations
Exceeded Expectations
Please provide any additional comments that you would like to share:
Name (optional)
May we contact you?
No
Yes
If yes, please enter your email address and /or phone number:
Submit Survey
