Outpatient Therapy Satisfaction Survey

* required

E-Mail Address *

First Name

Last Name

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What therapy services were you receiving?





Who was your primary therapist?
















On a scale of 1 - 5, please rate the following:

1 = Not Satisfied, 5 = Very Satisfied

I have achieved my goals:

The process of getting registered for therapy was smooth:

The therapist(s) were professional in apprearance and action:

After evaluation, I was offered appointments for treatment right away:

I would use GTP therapy services again:

My overall satisfaction with the Wellness Center:

Comments:

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