1. Thank you for completing this survey.

* 1. Please rate each of the following based on your experience at ObGynNorth

  Excellent Very Good Good Adequate Bad Very Bad Awful N/A
Waiting Room
Check-In Process (paperwork...)
Front Desk Staff - check in / check out
Front Desk Staff - insurance / benefit verification
Wait Time
Exam Rooms
Clinical Staff - Medical Assistants (Patsy, Shannon and Crystal)
Clinical Staff - Registered Nurses (Keri, Nicole, Maria, and Sydney)
Physician - Christina Sebestyen, MD
Physician - Mary Mirto, DO
Physician - Tesa Miller, MD
Physician - Maansi Piparia, MD
Midwife - Michelle Hughes, CNM
Midwife - Kathy Harrison-Short, CNM
Midwife - Jessica Good, CNM
Midwife - Siobhan Kubesh, CNM
Midwife - Bridget Kenny, CNM
Midwife - Kaye Hewitt, CNM
Check-Out Process
Telephone Encounters

* 2. What was the best aspect of your visit?

* 3. What was the worst aspect of your visit?

* 4. How did you hear about us?

* 5. Would you recommend us to a friend?

* 6. Please provide any further comments regarding your experience at ObGynNorth

* 7. Please supply your contact information so that we may better serve you in the future.