Exit this survey Patient Satisfaction Survey for Georgia Brain and Spine Center Question Title * 1. Date of Visit Please enter date: Date Question Title * 2. Please rate your satisfaction of our practice. Excellent Good Fair Poor Ease of scheduling an appointment Ease of scheduling an appointment Excellent Ease of scheduling an appointment Good Ease of scheduling an appointment Fair Ease of scheduling an appointment Poor Helpfulness and courtesy of the office staff Helpfulness and courtesy of the office staff Excellent Helpfulness and courtesy of the office staff Good Helpfulness and courtesy of the office staff Fair Helpfulness and courtesy of the office staff Poor Time you waited in the reception area Time you waited in the reception area Excellent Time you waited in the reception area Good Time you waited in the reception area Fair Time you waited in the reception area Poor Your Doctor's ability to listen and understand your needs Your Doctor's ability to listen and understand your needs Excellent Your Doctor's ability to listen and understand your needs Good Your Doctor's ability to listen and understand your needs Fair Your Doctor's ability to listen and understand your needs Poor Overall satisfaction with our services Overall satisfaction with our services Excellent Overall satisfaction with our services Good Overall satisfaction with our services Fair Overall satisfaction with our services Poor Question Title * 3. Would you recommend us to a relative? Yes No Question Title * 4. Please give suggestions as to how we can improve: Done
