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603-586-4100

Book an Appointment

Patient Satisfaction Survey

Was this your first visit to The Carlisle Place? *

Yes

No

Did your doctor offer therapy as a first treatment option? *

Yes

No

Did you request therapy? *

Yes

No

Have you had therapy prior to your visit here? *

Yes

No

What health issue brought you here & what made you choose The Carlisle Place for your rehabilitation needs?

Please rate us on the following using the scale of 1 – 5

with 1 being extremely unsatisfied and 5 being extremely satisfied.

The ease of making your appointment?

Do you feel we addressed the problem you came to see us for?

How likely are you to return to the Carlisle Place for future therapy needs?

How likely are you to recommend the Carlisle Place to others?

Please tell us about your experience at The Carlisle Place. (We may use this for marketing purposes)

Thanks for your feedback!

THE CHOICE IS YOURS...

CHOOSE CARLISLE PLACE FOR ALL YOUR REHAB NEEDS

55 Main Street | Lancaster, NH | 603-586-4100

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