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Provider Survey

Name: Greendale Physical Therapy
Address: 280 Boston Turnpike, Route 9, Shrewsbury, MA, 01545, United State
Telephone: 508-753-7780
Price range: $$$

Thank you for your partnership with us. We continuously strive to improve the quality of care we provide to our patients, and your feedback is invaluable. Please take a few minutes to complete this survey.

Best regards,
Jon Dooley, PT, MSPT
Owner / Physical Therapist

Physical Therapy Clinic Referring Provider Survey

1. About how many patients per week do you refer to physical therapy?

0-3

4-6

6-8

8-10

10+

Other (Please add details below)

Additional Details

2. What is the most typical way you refer to physical therapy? (circle all that apply)

I give the clinic’s business card

I fill out that clinic’s script pad

I tell the patient to find a physical therapy clinic near them

I give them the name of a specific physical therapy clinic

I give them the name of several physical therapy clinics

I fax the order to the practice/clinic

I refer them using an online website portal

Other (Please add details below)

Additional Details

3. Are you accepting new patients?

Yes

4. If yes, what is your name and preferred method we refer to you?

Name(Required)

Call my office:

Your preferred referral method:

Email me/my office:

Submit on my website:

Fax:

Other

5. How satisfied are you with the ease of referring patients to our clinic?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

6. How do you feel about the quality of care your patients receive at our practice?

Excellent

Good

Fair

Poor

7. Have you used Greendale’s online referral portal on the www.greendalept.com homepage?

Yes

No, I did not know this existed

No, I would like to learn more (fill out name/contact below)

8. How likely are you to refer future patients to our clinic?

Very Likely

Likely

Neutral

Unlikely

Very unlikely

9. Did you know Greendale has 6 locations in Central MA including an aquatic physical therapy program and a Neurological, Balance, and Vestibular Center?

Yes, I am familiar with Greendale’s locations and services

No, I am not totally familiar with Greendale’s locations and services

No, I am not familiar and would like more information (fill out name/contact below)

10. How do you feel about the accessibility and convenience of or clinic’s locations for your patients?

Excellent

Good

Fair

Poor

11. What is your biggest challenge with referring to physical therapy in Central MA?

It takes too long for my patient to be seen for an initial evaluation

Communication with the physical therapy clinic

Quality of services provided by the physical therapy clinic