Katranji Hand Center Patient Satisfaction Survey
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1. Default Section
1
. Gender?
Gender?
Male
Female
2
. Location of Visit?
Location of Visit?
East Lansing Office
St. Johns Office
Eaton Rapids Office
Other
3
. Where did you hear about our services?
Where did you hear about our services?
Physician
Friend/Family
Ad
Website
Other
4
. Please rate the courtesy of our staff.
Please rate the courtesy of our staff.
Excellent
Good
Fair
Poor
Not Applicable
5
. Please rate the cleanliness of the waiting room and treatment areas.
Please rate the cleanliness of the waiting room and treatment areas.
Excellent
Good
Fair
Poor
Not Applicable
6
. Please rate your overall satisfaction with your physician.
Please rate your overall satisfaction with your physician.
Excellent
Good
Fair
Poor
Not Applicable
7
. Please rate the overall wait time in the office.
Please rate the overall wait time in the office.
Excellent
Good
Fair
Poor
Not Applicable
8
. Please rate how well your financial concerns/questions were addressed.
Please rate how well your financial concerns/questions were addressed.
Excellent
Good
Fair
Poor
Not Applicable
9
. Please rate if all your questions were answered.
Please rate if all your questions were answered.
Excellent
Good
Fair
Poor
Not Applicable
10
. Please provide comments or suggestions.
Please provide comments or suggestions.
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