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WE VALUE YOUR FEEDBACK!

WE VALUE YOUR FEEDBACK!

Please help us improve your care by completing our patient experience survey.

Your opinion matters to us! Please take a few moments to complete the below survey. Your responses will assist our departments with improving the delivery of our services! We look forward to hearing your feedback.

Check the response that best describes your overall experience.

THANK YOU FOR TAKING THE TIME TO SHARE!

For more information about rehabilitation services, contact Lima Memorial Rehabilitation Services
at 419-226-5075.

Patient Gender: * (Please Check One)
Patient Age: * (Please Check One)
Location of Service: * (Please Check One)
What services did you receive? * (Please Check All That Apply)
The office receptionist was courteous *
The registration process was easy: *
The waiting area was comfortable: *
I did not have to wait more than ten minutes past my scheduled appointment time: *
The therapist treated me respectfully: *
My therapist listened to my concerns and answered all of my questions: *
My therapist spent enough time with me and thoroughly explained the treatment to me: *
My therapist gave me detailed instructions for my home program and / or advised me on ways to avoid future problems: *
Overall, I am satisfied with services I received from my therapist: *
I would return to this office / facility for future service, and I would recommend this office to a friend or family member: *
Please leave your name and number if you are open to receiving a phone call from our team to discuss your experiences. Your feedback is essential in helping us improve your care.

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