1.On a scale from 1 (very dissatisfied) to 5 (very satisfied), please rate your satisfaction with your orthopedic care experience with Dr. Rice

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

N/A

Appointment availability

Timeliness of getting into the office for an appointment

Timeliness of being seen by Dr. Rice in the office

Friendliness of office staff

Knowledge and expertise of Dr. Rice

Knowing that Dr. Rice cares about your problem

Postoperative rehabilitation

Your Overall Outcome after Surgery

Your overall health and fitness after receiving care from Dr. Rice compared to before seeing him

2.Based on your experience, if you had to make the choice again, would you seek care from Dr. Rice?

Yes

No

3.If you answered no to Question 2, why not?

4.Please provide any other comments, feedback, or suggestions you would like to share: