Patient Satisfaction Survey
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1. Patient Satisfaction Survey

 
Patient satisfaction is important to us. To help us serve you effectively, please take a few minutes to answer the following questions. Your responses will be kept strictly confidential and your signature is not required.

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1. Which doctor did you see during your visit?

2. My telephone call was answered by the office staff within 4 rings.

3. The person I spoke with on the phone to set up the appointment was professional, helpful and courteous.

4. The receptionist who greeted me in the office was professional, helpful and courteous.

5. My wait time in the lobby was under 30 minutes.

6. My nurse was professional, friendly and courteous.

7. My doctor listened to my questions/problems/history.

8. My doctor explained my diagnosis to me and reviewed my treatment options/plan with me.

9. I left the office with a clear plan for my healthcare.

10. I would recommend this doctor to a friend or family member.

11. Please add any additional comments here: