Post-Visit Patient Satisfaction Survey Question Title * 1. What type of services are you receiving at Shoreline Wellness Center? Psychotherapy, individual Med management Psychotherapy, Couples Psychotherapy, Family OK Question Title * 2. How likely is it that you would recommend your provider to a friend or family member? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 3. Overall, how satisfied or dissatisfied were you with your last visit to our office? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 4. How easy or difficult was it to schedule your appointment at a time that was convenient for you? Very easy Somewhat easy Neither easy nor difficult Somewhat difficult Very difficult OK Question Title * 5. Overall, how would you rate the service you received from the staff at our office? Excellent Very good Good Fair Poor OK Question Title * 6. How comfortable was the lobby and waiting area? Extremely comfortable Very comfortable Somewhat comfortable Not so comfortable Not at all comfortable OK Question Title * 7. Overall, how would you rate the care you received from your provider? Excellent Very good Good Fair Poor OK Question Title * 8. How well did your provider listen to your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 9. How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 10. Is there anything we could have done to improve your last visit? OK DONE