SurveyMonkey Powered Online Survey

You are the reason why we do what we do.

As a patient of ours, your opinion is very important to us. Our team's goal is to provide an exceptional experience for each patient. Your input will help us to continuously improve the quality of our patients' health care.

This survey is under 20 questions and should take approximately 3-5 minutes to complete.

We truly thank you for your feedback.

Sincerely,

The UBMD Orthopaedics & Sports Medicine Team

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* 1. Which UBMD Ortho healthcare provider are you responses referring to?

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* 2. How long have you been seeing this healthcare provider?

This was my first appointment

Less than 6 months

6-12 months

1-3 years

3-5 years

5+ years

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* 3. Which office did you visit most recently?

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* 4. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?

	10 Best provider possible	9	8	7	6	5	4	3	2	1	0 Worst provider possible
.	. 10 Best provider possible	. 9	. 8	. 7	. 6	. 5	. 4	. 3	. 2	. 1	. 0 Worst provider possible

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* 5. Would you recommend your healthcare provider’s office to your family and friends?

Yes, definitely

Yes, somewhat

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* 6. During your most recent visit, did your healthcare provider give you easy to understand information about your health questions or concerns?

Yes, definitely

Yes, somewhat

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* 7. During your most recent visit, did your healthcare provider spend enough time with you?

Yes, definitely

Yes, somewhat

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* 8. Please rate your experiences with the following.

	Excellent	Good	Fair	Poor	N/A
Telephone Answering Service	Telephone Answering Service Excellent	Telephone Answering Service Good	Telephone Answering Service Fair	Telephone Answering Service Poor	Telephone Answering Service N/A
Scheduling Your Appointment	Scheduling Your Appointment Excellent	Scheduling Your Appointment Good	Scheduling Your Appointment Fair	Scheduling Your Appointment Poor	Scheduling Your Appointment N/A
Front Desk Reception Area	Front Desk Reception Area Excellent	Front Desk Reception Area Good	Front Desk Reception Area Fair	Front Desk Reception Area Poor	Front Desk Reception Area N/A
Physician's Staff	Physician's Staff Excellent	Physician's Staff Good	Physician's Staff Fair	Physician's Staff Poor	Physician's Staff N/A
UBMD Ortho Imaging Services (X-ray and/or MRI)	UBMD Ortho Imaging Services (X-ray and/or MRI) Excellent	UBMD Ortho Imaging Services (X-ray and/or MRI) Good	UBMD Ortho Imaging Services (X-ray and/or MRI) Fair	UBMD Ortho Imaging Services (X-ray and/or MRI) Poor	UBMD Ortho Imaging Services (X-ray and/or MRI) N/A
Billing Department	Billing Department Excellent	Billing Department Good	Billing Department Fair	Billing Department Poor	Billing Department N/A
Scheduling Your Surgery	Scheduling Your Surgery Excellent	Scheduling Your Surgery Good	Scheduling Your Surgery Fair	Scheduling Your Surgery Poor	Scheduling Your Surgery N/A

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* 9. Did you have a physical therapy appointment at a UBMD Ortho location?

Yes