Outgoing Patient Survey

  • About Your Experience with County Physical Therapy

  • We hope that your treatments and overall experience with County Physical Therapy are both positive and productive. Patients can leave feedback about their visits with us by filling out this brief survey. Our clinic values feedback and we continually strive to improve our services. 
  • Comments & Testimonial

  • Optionally, please give us your name and let us know if we can post your comments as a testimonial on our website and/or Facebook page.  We will only use your first name, never your full name.  Also, please let us know if you'd like us to contact you regarding your experience with us.

  • Area Code - Phone Number
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