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Orthopedic Center of Illinois Patient Comment Cards

 

1. Name:

Name:

2. Email:

Email:

3. OCI Physician I'm seeing today:

OCI Physician I'm seeing today:

4. Is this your first visit to OCI?

Is this your first visit to OCI?   Yes No

5. If you called the office, was the phone answered promptly?

If you called the office, was the phone answered promptly?   Yes No

6. Were we able to schedule an appointment to meet your needs?

Were we able to schedule an appointment to meet your needs?   Yes No

7. Were you treated with kindness and respect at all times by the receptionists?

Were you treated with kindness and respect at all times by the receptionists?   Yes No

8. Were you treated with kindness and respect at all times by the nurses?

Were you treated with kindness and respect at all times by the nurses?   Yes No

9. Were you treated with kindness and respect at all times by the doctors?

Were you treated with kindness and respect at all times by the doctors?   Yes No

10. Were you treated with kindness and respect at all times by the x-ray technologists?

Were you treated with kindness and respect at all times by the x-ray technologists?   Yes No

11. Do you feel your wait to be seen was appropriate?

Do you feel your wait to be seen was appropriate?   Yes No

12. Did we answer your questions completely?

Did we answer your questions completely?   Yes No

13. Would you use our services again?

Would you use our services again?   Yes No

14. Would you recommend us to others?

Would you recommend us to others?   Yes No

15. What did we do well?

What did we do well?

16. What could we do better?

What could we do better?