Home
Our Staff
Locations
Burlingame
Foster City
Los Gatos
San Jose / Blossom Valley
San Jose / Rosegarden
San Jose / Silver Creek
San Jose / Willow Glen
Stanford University
Services
AlterG® Anti-gravity treadmill
Ancillary Programs and Services
Aquatic Therapy
Golf for Life
Physical Therapy
RunningMORE
Forms & FAQs
New Patients\FAQs
Downloadable Patient Forms
Contact Us
Pay Bill Online
Careers
Patient Portal
MORE Survey
Home
» Patient Satisfaction Survey
Question marked with * are mandatory.
Patient Satisfaction Survey
Q1.
Please indicate the location where you were treated: *
Burlingame
Foster City
Los Gatos
San Jose - Rose Garden
San Jose - Blossom Valley
San Jose - Silver Creek
San Jose - Willow Glen
Stanford University Vaden Student Health Center
Q2.
Please indicate the names of your treating clinician(s). Check all the apply. *
Amy Huttlinger, PTA
Arman, Dulic, PT
Ashwini Velankar, MPT, CEAS, CCI
Beatriz Naranjo, PTA
Brandon Kim, DPT
Brian Sunseri, PTA
Cher Kooiman, MPT
Chris Kuhn, MPT, OCS, COMT
Christina Kennaday, PT
Cristopher Lara, DPT
Dillon McQuade, PT
Disha Panchal, PTLA
Harrelson Gatuz, DPT
Hayward Livengood, PTA
Hilary Freund, PT, DPT
Justin Ingalls Ito, PT, DPT, OCS
Laurie Rossi, PTA
Lupe Gamez-Amaya, PT, DPT
Marci Stevenson, MPT, OCS
Martha Lepow, MPT, ATC, CSCS, CEAS
Matthew Addleman, PT, DPT, CSCS
Meagan Cornforth, DPT
Meghan Gordineer, MPT
Parul Wason, PT, OCS, COMT
Patricia Trupp, RPT
Ronald Kaminski, PT, ATC, CCI, SCS
Shital Chauhan, PT, DPT
Ulysis Milanes, DPT
Vince Gutierrez, DPT, ATC
Zaldy De La Cuesta, DPT
Q3.
How likely are you to recommend MORE Physical Therapy, Inc. to a friend or colleague?
1-Not at all likely
10 - Extremely Likely *
1
2
3
4
5
6
7
8
9
10
Q4.
If you selected that you are unlikely to recommend us to a friend, please share any concerns or comments you have:
Q5.
I will tell my referring physician that: *
My experience was exceptional and I encourage him/her to continue sending patients to MORE.
My expectations were met and my experience was satisfactory.
My expectations were not met and my experience was less that satisfactory.
I was not referred by a physician.
Q6.
Please share any further comments, kudos, or constructive criticism.
Q7.
Do you wish for your responses to this survey to remain anonymous? *
Yes
No
If no, please share your name and/or email here
Please enter the following text in the box
Enable Javascript for audio controls
Facebook
Cigna/ASH & Blue Cross Updates
See More
X