Customer Satisfaction Survey
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1. At this office, I feel my time is valued as much as the doctor's time.

2. In comparison to other service providers that I've had a positive experience with and that take reservations (such as a restaurant or hotel), I would rate the courtesy and service provided by this office staff as:

3. Sometimes I'm made to feel that I am an interruption to the front office's day rather than the reason for it.

4. On average I spend _ waiting for my appointment.

5. On average I am not satisfied with the amount of time I wait for an appointment.

6. I feel valued and important by the office staff from the time I walk through the door to the time I complete my visit.

7. I feel like the staff "knows" me.

8. The staff works hard to make their appointments work into my schedule.

9. In general, I am able to fully explain how I'm feeling to my doctor.

10. My doctor doesn't usually ask me enough questions for me to thoroughly communicate what's happening with me.

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