DC
HAND THERAPY
Hand, Wrist, Elbow & Shoulder Rehab
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Why choose a Certified Hand Therapist (CHT)?
Why DC Hand Therapy?
SURVEY
We value your feedback. Please complete the following brief survey or call us at (202) 545-6555 if you would like a paper form.
EASE OF GETTING CARE:
Ability to get in to be seen:
Excellent
Very Good
Good
Fair
Poor
Hours Center is open:
Excellent
Very Good
Good
Fair
Poor
Convenience of Center's location:
Excellent
Very Good
Good
Fair
Poor
Prompt return on calls:
Excellent
Very Good
Good
Fair
Poor
WAITING:
Time in waiting room:
Excellent
Very Good
Good
Fair
Poor
THERAPIST:
Listens to you:
Excellent
Very Good
Good
Fair
Poor
Takes enough time with you:
Excellent
Very Good
Good
Fair
Poor
Explains what you want to know:
Excellent
Very Good
Good
Fair
Poor
Gives you good advice and treatment:
Excellent
Very Good
Good
Fair
Poor
Overall, how satisfied are you with your Therapist?
BILLING STAFF:
Friendly and helpful to you:
Excellent
Very Good
Good
Fair
Poor
Answers your questions:
Excellent
Very Good
Good
Fair
Poor
PAYMENT:
What you paid:
Excellent
Very Good
Good
Fair
Poor
Explanation of charges:
Excellent
Very Good
Good
Fair
Poor
Collection of payment:
Excellent
Very Good
Good
Fair
Poor
FACILITY:
Neat and clean building:
Excellent
Very Good
Good
Fair
Poor
Ease of finding where to go:
Excellent
Very Good
Good
Fair
Poor
Comfort and Safety while waiting:
Excellent
Very Good
Good
Fair
Poor
Privacy:
Excellent
Very Good
Good
Fair
Poor
CONFIDENTIALITY:
Keeping my personal information private:
Excellent
Very Good
Good
Fair
Poor
The likelihood of referring your friends and relatives to us:
Excellent
Very Good
Good
Fair
Poor
What do you like best about our center?
What do you like least about our Center?
Suggestions for improvement?
Your First & Last Name & Relationship to Patient (First & Last Name):