Patient Satisfaction Survey

 
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Please take a moment to complete this survey. By completing this survey, you will be entered into a monthly random drawing for a $25 Gift Card.

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. We will use your responses to make improvements in our services for you and other patients. All responses will be kept confidential and anonymous. Thank you for taking the time to provide your valuable feedback.

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* 1. Ease of making your appointment:

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* 2. When you phone Shaw Center’s office to get an appointment for care  how often do you get an appointment as soon as you need it?

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* 3. Have you been given an option for appointment times when you have called Shaw Center needing an appointment?

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* 4. What appointment times are ideal for your schedule?

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* 5. Amount of time you spent in the waiting room:

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* 6. Amount of time waiting to be seen by your provider:

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* 7. How courteous and helpful was our staff?

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* 8. Do you feel like your physician/provider respected you, listened to your concerns and spent an adequate amount of time with you?

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* 9. Do you feel that your physician or provider provided good medical care/advice?

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* 10. How well were any proposed tests/treatments explained to you?

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* 11. Were you provided with information or have your questions answered concerning new medications?

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* 12. During your most recent visit, did your healthcare provider explain things in a way that was easy to understand?

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* 13. Physician/provider treatment and professionalism:

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* 14. Did you get easy-to-understand answers to your questions during you appointment?

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* 15. Have you been kept updated on any additional testing needed or referral appointments to other providers?

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* 16. Would you recommend the Shaw Center for Women's Health and Shaw Living to friends and family?

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* 17. What could we do to improve the quality of your experience at The Shaw Center for Women's Health?

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* 18. Please provide the following information to be entered into a monthly drawing for a $25 Gift Card.

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* 19. Were there any providers or staff members who made your experience particularly positive, who were they?

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* 20. Additional comments or suggestions for improvement:

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