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Patient Survey

Dear valued patient:

Thank you for choosing St. Francis Rehabilitation and Sports Medicine services for your care. We value your opinion of our services and would like your feedback. Our goal is to optimize your experience with us and provide the best quality care for our patients.

Please assist us with this goal by sharing your opinion of your experience while under our care. Your answers are anonymous and intended to use as a tool to best serve you.

This survey is completely optional and may be taken home with you to complete if you prefer. Our reception staff can provide you with a self-addressed stamped envelope for your convenience.

Please circle the most appropriate answer for each question and provide any additional comments in the sections provided.

  • E- Excellent
  • VG- Very Good
  • G-Good
  • F-Fair
  • P-Poor