Patient Satisfaction Survey Chester Medical Associates * 1. How would you rate the ease of making appointments. Very Good Good Fair Poor * 2. How would you rate the time it takes someone from our office to respond when you call with a problem? Very Good Good Fair Poor * 3. How would you rate the waiting time in our office? Very good Good Fair Poor * 4. How would you rate the ease in obtaining follow-up information and care (test results, prescriptions, care instructions)? Very good Good Fair Poor * 5. How would you rate the overall care you receive with your doctor? Very good Good Fair Poor * 6. How well does your doctor coordinate your care with other specialists that you see? (please skip if you do not see other specialists). Very good Good Fair Poor * 7. How would your rate the friendliness of our office staff? Very Good Good Fair Poor * 8. How long have you been a patient at our practice? 10 years or more 1-9 years Less than 1 year * 9. How likely would you be to recommend our practice to your family and friends? Very likely Likely Somewhat likely Not likely Done