Patient Customer Service
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1. Default Section
1
. Patient Satisfaction Survey
Strongly Disagree
Moderately Disagree
Slightly Disagree
Slightly Agree
Moderately Agree
Strongly Agree
I get prompt medical care when I need it
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Patient Satisfaction Survey I get prompt medical care when I need it Strongly Disagree
I get prompt medical care when I need it Moderately Disagree
I get prompt medical care when I need it Slightly Disagree
I get prompt medical care when I need it Slightly Agree
I get prompt medical care when I need it Moderately Agree
I get prompt medical care when I need it Strongly Agree
I am always able to see my provider of choice
I am always able to see my provider of choice Strongly Disagree
I am always able to see my provider of choice Moderately Disagree
I am always able to see my provider of choice Slightly Disagree
I am always able to see my provider of choice Slightly Agree
I am always able to see my provider of choice Moderately Agree
I am always able to see my provider of choice Strongly Agree
2
. Provider Satisfaction
Strongly Disagree
Moderately Disagree
Slightly Disagree
Slightly Agree
Moderately Agree
Strongly Agree
My care provider is genuinely interested in my concerns
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Provider Satisfaction My care provider is genuinely interested in my concerns Strongly Disagree
My care provider is genuinely interested in my concerns Moderately Disagree
My care provider is genuinely interested in my concerns Slightly Disagree
My care provider is genuinely interested in my concerns Slightly Agree
My care provider is genuinely interested in my concerns Moderately Agree
My care provider is genuinely interested in my concerns Strongly Agree
The provider is always thorough with his/her exam
The provider is always thorough with his/her exam Strongly Disagree
The provider is always thorough with his/her exam Moderately Disagree
The provider is always thorough with his/her exam Slightly Disagree
The provider is always thorough with his/her exam Slightly Agree
The provider is always thorough with his/her exam Moderately Agree
The provider is always thorough with his/her exam Strongly Agree
3
. Office Staff Satisfaction
Strongly Disagree
Moderately Disgaree
Slightly Disagree
Slightly Agree
Moderately Agree
Strongly Agree
I find the office staff friendly and helpful
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Office Staff Satisfaction I find the office staff friendly and helpful Strongly Disagree
I find the office staff friendly and helpful Moderately Disgaree
I find the office staff friendly and helpful Slightly Disagree
I find the office staff friendly and helpful Slightly Agree
I find the office staff friendly and helpful Moderately Agree
I find the office staff friendly and helpful Strongly Agree
My Medical Assistant was friendly and professional
My Medical Assistant was friendly and professional Strongly Disagree
My Medical Assistant was friendly and professional Moderately Disgaree
My Medical Assistant was friendly and professional Slightly Disagree
My Medical Assistant was friendly and professional Slightly Agree
My Medical Assistant was friendly and professional Moderately Agree
My Medical Assistant was friendly and professional Strongly Agree
4
. General Office Satisfaction
Strongly Disagree
Moderately Disagree
Slightly Disagree
Slightly Agree
Moderately Agree
Strongly Agree
The office is able to meet my needs
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General Office Satisfaction The office is able to meet my needs Strongly Disagree
The office is able to meet my needs Moderately Disagree
The office is able to meet my needs Slightly Disagree
The office is able to meet my needs Slightly Agree
The office is able to meet my needs Moderately Agree
The office is able to meet my needs Strongly Agree
I am satisfied with the way my phone calls are handled
I am satisfied with the way my phone calls are handled Strongly Disagree
I am satisfied with the way my phone calls are handled Moderately Disagree
I am satisfied with the way my phone calls are handled Slightly Disagree
I am satisfied with the way my phone calls are handled Slightly Agree
I am satisfied with the way my phone calls are handled Moderately Agree
I am satisfied with the way my phone calls are handled Strongly Agree
5
. Would you reccommed the office?
Strongly Disagree
Moderately Disagree
Slightly Disagree
Slightly Agree
Moderately Agree
Strongly Agree
I would recommed Eureka Family Practice to my friends and family
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Would you reccommed the office? I would recommed Eureka Family Practice to my friends and family Strongly Disagree
I would recommed Eureka Family Practice to my friends and family Moderately Disagree
I would recommed Eureka Family Practice to my friends and family Slightly Disagree
I would recommed Eureka Family Practice to my friends and family Slightly Agree
I would recommed Eureka Family Practice to my friends and family Moderately Agree
I would recommed Eureka Family Practice to my friends and family Strongly Agree
6
. Additional Comments
Additional Comments
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