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Outpatient Satisfaction Survey

At Baton Rouge Rehab Hospital we strive to provide you with the best therapy services. To assist us in improving our services, please respond to the following questionnaire. Your information will be kept confidential. Thank you for taking the time to complete this survey. Thank you for choosing Baton Rouge Rehab Hospital.

Program::
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1. The admissions/scheduling staff members were courteous and respectful:
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2. The admissions process was efficient and appropriate:
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3. My therapist was prompt for my scheduled visit time:
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4. My therapist was courteous and respectful:
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5. My therapist understood my condition and goals:
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6. My therapist listened to my concerns:
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7. My therapist explained my treatments in a way I could understand:
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8. My therapist gave me instructions/home program that was helpful:
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9. Overall, I was satisfied with the quality of my therapy:
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10. I would return to Baton Rouge Rehab Hospital for therapy in the future:
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If you did not answer yes, why?:
11. I would recommend Baton Rouge Rehab Hospital to my family and friends:
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If you did not answer yes, why? :
Additional Comments:
Your Name (Optional):
E-Mail Address (Optional):
Date:
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Reason for Therapy Referral:
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