Customer Service Survey
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1. Pacific Women's Customer Service Survey
1
. How would you rate the ease of telephone access for appointments and medical questions?
How would you rate the ease of telephone access for appointments and medical questions?
5 Very Satisfied
4 Somewhat Satisfied
3 Satisfied
2 Somewhat Dissatisfied
1 Very Dissatisfied
Other (please specify)
*
2
. How would you rate the friendliness of the office staff, front and back once you arrive our office?
How would you rate the friendliness of the office staff, front and back once you arrive our office?
5 Very Satisfied
4 Somewhat Satisfied
3 Satisfied
2 Somewhat Satisfied
1 Very Dissatisfied
*
3
. How would you rate the performance of the doctor and staff handling your appointment if the doctor is involved in a delivery of emergency?
How would you rate the performance of the doctor and staff handling your appointment if the doctor is involved in a delivery of emergency?
5 Very Satisfied
4 Somewhat Satisfied
3 Satisfied
2 Somewhat Dissatisfied
1 Very Dissatisfied
4
. How do you feel about your insurance plan?
How do you feel about your insurance plan?
5 Very Satisfied
4 Somewhat Satisfied
3 Satisfied
2 Somewhat Dissatisfied
1 Very Dissastisfied
5
. How would you rate the cleanliness of our office, decor and ambiance?
How would you rate the cleanliness of our office, decor and ambiance?
5 Very Satisfied
4 Somewhat Satisfied
3 Satisfied
2 Somewhat Dissatisfied
1 Very Dissastisfied
*
6
. How would you rate the overall visit you had with your doctor?
How would you rate the overall visit you had with your doctor?
5 Very Satisfied
4 Somewhat Satisfied
3 Satisfied
2 Somewhat Dissatisfied
1 Very Dissastisfied
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