Your Last Appointment

At Guenthner Physical Therapy, we take your care seriously. The outcome of your program matters to us, as does your perception of our services. If you were unable to fill out your discharge paperwork at the office, we would appreciate you taking a few minutes to fill out these forms and send them back to us. Please choose the pain questionnaire that is related to your diagnosis and that you are familiar with from the program. In advance, we thank you for your time and feedback.

• Back Pain Rating
• Lower Extremity Pain Rating
• Neck Pain Rating
• Upper Extremity Pain Rating (2 pages)

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• Take the Patient Satisfaction Survey