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Patient Satisfaction Survey
1. Default Section
1
. The ability to get through, by phone, to the person or department you want to reach.
The ability to get through, by phone, to the person or department you want to reach.
Poor
Fair
Good
Very Good
Excellent
Comments
2
. The ability of the phone operator to direct your call correctly and efficiently.
The ability of the phone operator to direct your call correctly and efficiently.
Poor
Fair
Good
Very Good
Excellent
Comments
3
. The ability to arrange an appointment at a convenient time.
The ability to arrange an appointment at a convenient time.
Poor
Fair
Good
Very Good
Excellent
Comments
4
. Convenience (close,easy to find) of the office location.
Convenience (close,easy to find) of the office location.
Poor
Fair
Good
Very Good
Excellent
Comments
5
. Convenience of our office hours
Convenience of our office hours
Poor
Fair
Good
Very Good
Excellent
Comments
6
. Availability of parking at our office.
Availability of parking at our office.
Poor
Fair
Good
Very Good
Excellent
Comments
7
. The length of time you waited between making an appointment for routine care and the day of the visit.
The length of time you waited between making an appointment for routine care and the day of the visit.
Poor
Fair
Good
Very Good
Excellent
Comments
8
. Waiting time in reception area if you had a scheduled appointment.
Waiting time in reception area if you had a scheduled appointment.
Poor
Fair
Good
Very Good
Excellent
Comments
9
. The friendliness,concern and courtesy shown to you by your Physician/PA.
The friendliness,concern and courtesy shown to you by your Physician/PA.
Poor
Fair
Good
Very Good
Excellent
Comments
10
. The amount of time spent with the Physician/PA during the visit.
The amount of time spent with the Physician/PA during the visit.
Poor
Fair
Good
Very Good
Excellent
Comments
11
. The thoroughness of the examination and treatment.
The thoroughness of the examination and treatment.
Poor
Fair
Good
Very Good
Excellent
Comments
12
. Explanation of your condition and treatment options.
Explanation of your condition and treatment options.
Poor
Fair
Good
Very Good
Excellent
Comments
13
. Friendliness and courtsey shown by our staff.
Friendliness and courtsey shown by our staff.
Poor
Fair
Good
Very Good
Excellent
Comments
14
. Efficiency of the check-out process.
Efficiency of the check-out process.
Poor
Fair
Good
Very Good
Excellent
Comments
15
. The comfort, appearance and cleanliness of our facilities.
The comfort, appearance and cleanliness of our facilities.
Poor
Fair
Good
Very Good
Excellent
Comments
16
. The helpfulness of our business office and the clarity of the billing statement.
The helpfulness of our business office and the clarity of the billing statement.
Poor
Fair
Good
Very Good
Excellent
Comments
17
. The appropriateness of the fee for the value of service you received.
The appropriateness of the fee for the value of service you received.
Poor
Fair
Good
Very Good
Excellent
Comments
18
. Overall quality of care and services you received from your physician.
Overall quality of care and services you received from your physician.
Poor
Fair
Good
Very Good
Excellent
Comments
19
. Probability you would recommend us to a friend.
Probability you would recommend us to a friend.
Poor
Fair
Good
Very Good
Excellent
Comments
20
. Please provide the name of your treating provider on this visit?
Please provide the name of your treating provider on this visit?
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