Form

Are you a Pilates/Yoga client: *	Yes No
Are you a physical therapy patient: *	Yes No
Please rate the following:
Telephone Demeanor of staff *
Availability of your appointment time/class time *
Greeting upon arrival *
Helpfulness of our staff *
Knowledge base and professionalism of *
Sensitivity and attentiveness of therapist /
Explanations provided/ questions answered *
Cleanliness of the facility *
Date of most recent visit
Do you feel positive enough about our center to refer family and friends? *	Yes No
Please comment on anything regarding our services that we might improve to make your future experiences with us even better.