Children's International Medical Group Patient Satisfaction Survey-January

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1. Which Children's International Medical Group clinic did you most recently visit?

Which Children's International Medical Group clinic did you most recently visit?   Slidell

Hammond

Lacombe

Franklinton

Chalmette

Kenner

Amite

2. Did we answer your phone promptly and with a friendly tone of voice?

Did we answer your phone promptly and with a friendly tone of voice?   Yes

No

3. Were you seen within 20 minutes of you scheduled appointment time?

Were you seen within 20 minutes of you scheduled appointment time?   Yes

No

4. Did you find our office clean and comfortable?

Did you find our office clean and comfortable?   Yes

No

5. Were our staff and medical assistants kind and helpful?

Were our staff and medical assistants kind and helpful?   Yes

No

*

6. Which physician or nurse practitioner did you see today?

Which physician or nurse practitioner did you see today?

7. How would you rank the care you received today?

How would you rank the care you received today?   Great

Good

Fair

Poor

8. Did your physician/nurse practitioner listen to and address all of your concerns?

Did your physician/nurse practitioner listen to and address all of your concerns?   Yes

No

9. How would you rank your overall experience with us today?

How would you rank your overall experience with us today?   Great

Good

Fair

Poor

10. Additional comments? Please provide your name, email, or phone number so we can contact you if necessary.

Additional comments? Please provide your name, email, or phone number so we can contact you if necessary.