Exit

Question Title

* 1. How likely are you to recommend our practice (Lisa Larkin, MD, and Associates) to others for their primary care needs?

Question Title

* 2. Please indicate who is your primary care provider in our practice.

Question Title

* 3. Please indicate your gender

Question Title

* 4. Please indicate your age

Question Title

* 5. Were you a patient of any of our providers previously, such as at UC Health?

Question Title

* 6. Please specify the type of patient membership you have with our practice:

Question Title

* 7. How satisfied are you with the the membership model you selected (DPC or concierge)?

Question Title

* 8. Overall, how satisfied or dissatisfied were you with your last visit to our office?

Question Title

* 9. Please indicate how satisfied you are with the following:

  Extremely Satisfied
Ease of reaching the office
Ease of scheduling an appointment
Ease of speaking with a provider
Waiting time in our office
Understanding of your membership plan
Time it takes for someone from our office to respond to your request
Communication from the practice
Overall medical care with our practice

T