Physical Therapy Clinic Outcome Survey

Measure Treatment Success and Patient Satisfaction with Paperform

Physical therapy clinics need reliable data on treatment outcomes and patient experience to maintain quality care and improve services. This Physical Therapy Clinic Outcome Survey template helps you capture detailed feedback on pain reduction, mobility improvements, therapist communication, and overall satisfaction—all through a single, professional form.

Why This Template Works for Physical Therapy Practices

Whether you're running a sports rehabilitation center, orthopedic PT clinic, or general wellness practice, understanding patient outcomes is essential for clinical excellence and growth. This template lets you:

• Track measurable outcomes like pain levels, range of motion, and functional improvements
• Assess patient satisfaction with therapist instruction, exercise plans, and overall care quality
• Identify areas for improvement in communication, facility experience, and treatment protocols
• Gather testimonials and success stories from satisfied patients

The form uses scales, sliders, and targeted questions to capture both quantitative metrics and qualitative feedback, giving you actionable insights you can share with your team or use for marketing.

Seamless Integration with Your Practice Workflow

Paperform connects with the tools physical therapy clinics already use. Send survey responses automatically to Google Sheets for outcome tracking, push data to your CRM or patient management system, or trigger follow-up emails through Stepper based on satisfaction scores. You can embed this survey on your website, email it post-discharge, or send it via SMS after the final session.

With conditional logic built in, you can ask follow-up questions based on patient responses—for example, requesting more detail if someone rates their pain reduction as low, or inviting highly satisfied patients to leave a public review.

Professional, HIPAA-Aware Design

While Paperform is not HIPAA-compliant, this template is designed with privacy in mind. It avoids collecting protected health information (PHI) beyond what's necessary for feedback, and you can customize fields to match your clinic's privacy policies. The clean, accessible design works beautifully on mobile devices, making it easy for patients to complete surveys from home.

Trusted by healthcare providers worldwide and SOC 2 Type II compliant, Paperform gives your physical therapy practice the tools to measure outcomes, improve care quality, and build stronger patient relationships—all without needing a developer or complex survey platform.