Patient Satisfaction Survey

We are committed to ensuring that you are satisfied with the care and services you receive at our practice. Please let us know what you think about your experience with us.

Appointment Information
MM/DD/YYYY
Please rate your level of satisfaction for the following:
0 - NA | 1 - Strongly Disagree | 2 - Disagree | 3 - Neutral | 4 - Agree | 5 - Strongly Agree
4. It was easy getting through our phone lines to schedule an appointment.
5. I was able to make an appointment for a date and time that was reasonable and convenient to me.
6. The registration and waiting areas were welcoming, clean and comfortable.
7. I was encouraged to ask questions and all of my questions were answered to my satisfaction.
The personal manner of the following staff was courteous, respectful, friendly, and compassionate. All of my questions or concerns were well addressed:
8. Phone/Appointment Scheduling
9. Registration
10. Nurse
11. Physician
12. Office and Billing
The professional or technical skill of the following staff were thorough, personable and competent:
13. Phone/Appointment Scheduling
14. Registration
15. Nurse
16. Physician
17. Office and Billing
Overall, I was satisfied with:
18. The length of time I waited to get an appointment.
19. The length of time I waited to be seen by a provider.
20. The total length of time it took for my appointment.
21. The explanations of the exam, procedures, test results and/or treatments that I received.
22. Would you recommend our practice to others?

 

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Last modified: February 24 2012