Question marked with * are mandatory.

DISCHARGE SURVEY

Your feedback is essential to our goal of providing the best rehabilitation services possible. We would greatly appreciate your comments of your experience at Bonavista Physical Therapy.

This is a short 6 question survey - it will only take 2 minutes to complete. Thank you for your time!

Q1. Therapist’s Name (optional):
Q2. Were you satisfied with the physiotherapy/massage therapy you received? *
 
 
 
Why or why not?
Q3. Were you satisfied with the efficiency, friendliness of the front office staff? *
 
 
 
Why or why not?
Q4. Who referred you to physiotherapy treatment *
 
 
 
 
 
Other (please specify)
Q5. Would you recommend Bonavista Physiotherapy and Massage to others? *
 
 
Comments
Q6. Do you have any suggestions as to how we could improve your experience?
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