Your opinions and feelings are important to us.



The physicians and staff of Jewett Orthopaedic Clinic are dedicated to giving you the highest quality medical care and the best possible personal attention. Please take a moment to complete this questionnaire to help us serve you better!

Question Title

* 1. Which physician did you see?:

Question Title

* 2. At which location did you visit?

Question Title

* 3. APPOINTMENT

  EXCELLENT GOOD AVERAGE POOR VERY POOR
Did you find it easy to schedule an appointment in a timely manner?

Question Title

* 4. STAFF

  EXCELLENT GOOD AVERAGE POOR VERY POOR
Was the staff courteous and helpful?

Question Title

* 5. OVERALL

  EXCELLENT GOOD AVERAGE POOR VERY POOR
How would you rate your experience

Question Title

* 6. Do you have any recommendations on how we might serve you better?

Question Title

* 7. Do you have any other comments, questions, or concerns?

Question Title

* 8. CONTACT INFO

T