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Mt Pleasant Patient Survey

 

1. When was the date of your visit?

When was the date of your visit?

2. Are you a new patient or a returning patient?

Are you a new patient or a returning patient?   New Returning

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3. Which Doctor/Provider did you see?

Which Doctor/Provider did you see?   Dr. Robert Bain Dr. J. Cummins Couch III Dr. Dana Chandler Dr. Kelly Snyder Patricia McCarthy, P.A.-C. Karen Perry, N.P.

4. When calling our office, your phone call was handled promptly and politely.

When calling our office, your phone call was handled promptly and politely.   Excellent Good Fair Poor

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5. The front desk staff was courteous and friendly.

The front desk staff was courteous and friendly.   Excellent Good Fair Poor

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6. The wait in the reception room was reasonable.

The wait in the reception room was reasonable.   Excellent Good Fair Poor

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7. The medical staff was professional and sensitive.

The medical staff was professional and sensitive.   Excellent Good Fair Poor

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8. The explanation of your treatment/procedure was clear and concise.

The explanation of your treatment/procedure was clear and concise.   Excellent Good Fair Poor

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9. The physician/provider you saw was attentive, competent, and responsive.

The physician/provider you saw was attentive, competent, and responsive.   Excellent Good Fair Poor

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10. Medication information and instructions were sufficiently reviewed (if applicable).

Medication information and instructions were sufficiently reviewed (if applicable).   Excellent Good Fair Poor

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11. The check-out personnel was knowledgeable, polite, and helpful.

The check-out personnel was knowledgeable, polite, and helpful.   Excellent Good Fair Poor

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12. You would classify the overall visit as a positive experience.

You would classify the overall visit as a positive experience.   Excellent Good Fair Poor

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13. You would refer family and friends to this practice.

You would refer family and friends to this practice.   Yes No

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14. How did you hear about our practice?

How did you hear about our practice?   Friend or Relative Phone Book Advertisement Internet Search Established Patient Other

Other (please specify)

15. Do you have any suggestions for improving our service?

Do you have any suggestions for improving our service?