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Patient Satisfaction Survey
We want to be sure that we offer you the highest level of service and medical care. Help us by completing this brief, confidential survey below.
1
. Which provider(s) did you see today?
Which provider(s) did you see today?
Dr. Anant Damle
Dr. Tom Duntemann
Dr. Norman Goldin
Dr. Mark Lawson
Dr. Dan Neumann
Tina Penalosa, PA-C
2
. I am satisfied with getting through to this office by phone.
I am satisfied with getting through to this office by phone.
Yes
No
3
. My doctor or provider spent adequate time with me.
My doctor or provider spent adequate time with me.
Yes
No
4
. The main reason you came today was taken care of.
The main reason you came today was taken care of.
Yes
No
5
. Were you satisfied with your wait time today?
Were you satisfied with your wait time today?
Yes
No
6
. Anything else you'd like us to know?
Anything else you'd like us to know?
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