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Pediatric Clinic 425-481-1933
Hand Clinic 425-892-2243
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In-clinic Pediatric Appts: What to Expect
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About the Hand Clinic
Hand Therapy FAQ
Hand clinic Appts: What to Expect
Common Conditions and Management Techniques
Laser Therapy
Hand Therapy Blog
Satisfaction Survey
Amazon Store – Hand Clinic
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Developmental Milestones
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Menu
Home
The Pediatric Center
In-clinic Pediatric Appts: What to Expect
Occupational Therapy
Physical Therapy
Speech Therapy
Pediatric Center Blog
Satisfaction Survey
Amazon Store – Pediatric Center
Hand Clinic
About the Hand Clinic
Hand Therapy FAQ
Hand clinic Appts: What to Expect
Common Conditions and Management Techniques
Laser Therapy
Hand Therapy Blog
Satisfaction Survey
Amazon Store – Hand Clinic
Patient Info
Start Intake Process
Pay Your Bill Online
Telehealth FAQ
Insurance Information
Testimonials
Events
Our Team
Our Directors
Speech Therapists
Physical Therapists
Hand Therapists
Occupational Therapists
Office Staff
Therapy Aides
Join Our Team
Resources
Developmental Milestones
Sensory Processing Disorder
SPIO Orthoses
Alternative Funding Sources
Contact
Resources
SATISFACTION SURVEY
Name
EvalDate
Therapist
FormFiller
Below are several questions about the care you received at Bothell Pediatric &Hand Therapy. Please answer each question by checking the box that best indicates your opinion. If the patient is a minor/child or cannot complete the survey, a family member may do so for him or her. Your answers will help us to improve our services.
Impressed
Improve
Do you feel the treatment you received for your condition has helped you/your child progress toward functional goals?
treatment
Other
No
Yes
Did the therapist adequately explain your diagnosis and treatment with you?
explaination
Other
No
Yes
Were you satisfied with the thoroughness of care and treatment outcomes you received from the therapist?
Level of Care
Other
No
Yes
Would you return to this facility?
Would You Return?
Other
No
Yes
Would you recommend this facility to your family & friends?
Recommend
Other
No
Yes
How would you rate the overall quality of care you received?
Overall Rating
Poor
Fair
Good
Excellent
Comments
May we publish your feedback and comments?
Publish
Other
No
Yes
Send
