Physical Therapist Evaluation Form Template

Use this template

Have you recently visited one of our physical therapists?Let's start with your name.Who was your physical therapist?

Phil Simpson, Elisa Yates, Dawn Mathis, Ian Welch

Can you briefly describe what you were treated for?How would you rate your physical therapist in the following areas?

Communication

Friendliness

Availability

Knowledgeable

What would you say were their strong suits?What needs improvement?Thanks for taking the time to help us improve!

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How can you do better?

Did your patients have a positive or not-so-positive experience during their treatment? This evaluation form is a great way to gather feedback from those who know best, and start improving your services.

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Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.

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Physical therapist evaluation form FAQs:

Verbal feedback or non-verbal cues say a lot about customer satisfaction. But what about the stuff they don't say? When you're seeing many patients in one day, it's nearly impossible to ask everyone for feedback—let alone remember it all.

This evaluation form asks questions that'll help you become a better physical therapist. You decide which areas you want to focus on, and your patients can fill in their answers in a matter of minutes.

From the moment they first hear about you to the moment they walk out of the door—your customers will be assessing your skills through every interaction. This will determine whether or not they come back or recommend you to family and friends.

For this reason, it's crucial to find out what went great, and what could've been better. You can ask about communication, wait times, the way you explained their treatment—anything you want. Typeforms ask one question at a time, so you get super specific answers and actionable data.