Exit this survey Client Service Survey How did we do?Our goal is to provide the highest quality of medical care for our patients and the best possible service for our clients. Your opinion is very important to us. We would appreciate your taking a few minutes to answer the following questions. Question Title * 1. Doctor caring and knowledgeable? Excellent Good Fair Poor Unsatisfactory Question Title * 2. Other staff friendly and helpful? Excellent Good Fair Poor Unsatisfactory Question Title * 3. Quality of medical care? Excellent Good Fair Poor Unsatisfactory Question Title * 4. Wait time reasonable? Excellent Good Fair Poor Unsatisfactory Question Title * 5. Value for your money? Excellent Good Fair Poor Unsatisfactory Question Title * 6. Organization and efficiency? Excellent Good Fair Poor Unsatisfactory Question Title * 7. Hospital appearance? Excellent Good Fair Poor Unsatisfactory Question Title * 8. Overall experience? Excellent Good Fair Poor Unsatisfactory Question Title * 9. Any additional comments you'd like to share? Question Title * 10. Date of visit? Question Title * 11. Check Out Time? Question Title * 12. Name and phone number? (optional) Thank you for your valuable input! Done
