Patient Satisfaction Survey
Exit this survey
1.
1
. Did you receive a telephone call from our automated system reminding you of your appointment?
Did you receive a telephone call from our automated system reminding you of your appointment?
Yes
No
2
. Scheduling my appointment and check in were a pleasant experience.
Scheduling my appointment and check in were a pleasant experience.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
NA
3
. The office staff and physicians were professional and courteous during my office visit.
The office staff and physicians were professional and courteous during my office visit.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
NA
4
. How helpful was the staff in seeing to your specific needs?
How helpful was the staff in seeing to your specific needs?
Excellent
Above Average
Average
Below Average
Poor
5
. How well were you educated on exams or testing performed during your visit?
How well were you educated on exams or testing performed during your visit?
Excellent
Above Average
Average
Below Average
Poor
6
. How well did your physician address your specific needs during your office visit?
How well did your physician address your specific needs during your office visit?
Excellent
Above Average
Average
Below Average
Poor
7
. Overall, wait times experienced while in our office were:
Overall, wait times experienced while in our office were:
Normal
Too long,could have taken less time
Too short, not enough time taken with my specific needs
8
. Would you recommend our office to your family or friends?
Would you recommend our office to your family or friends?
Yes
No
9
. What did you like best about your experience with our office?
What did you like best about your experience with our office?
10
. If you have any recommendations for performance improvement, please provide them below.
If you have any recommendations for performance improvement, please provide them below.
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