NCPS Northcrest Ortho Patient Sat Survey

To Our Patients: We are interested in your feedback about our office. We would like to hear about the care you received. Please take a few minutes to complete this short survey. Your responses are important to us.
Thank you for allowing us to SERVE you!

	Never	Sometimes	Usually	Always
Your calls were answered in a courteous and helpful manner.	Your calls were answered in a courteous and helpful manner. Never	Your calls were answered in a courteous and helpful manner. Sometimes	Your calls were answered in a courteous and helpful manner. Usually	Your calls were answered in a courteous and helpful manner. Always
The receptionist who greeted you was friendly and helpful.	The receptionist who greeted you was friendly and helpful. Never	The receptionist who greeted you was friendly and helpful. Sometimes	The receptionist who greeted you was friendly and helpful. Usually	The receptionist who greeted you was friendly and helpful. Always
You were kept informed of delays.	You were kept informed of delays. Never	You were kept informed of delays. Sometimes	You were kept informed of delays. Usually	You were kept informed of delays. Always

Never

Sometimes

Usually

Always

Your calls were answered in a courteous and helpful manner.

Your calls were answered in a courteous and helpful manner. Never

Your calls were answered in a courteous and helpful manner. Sometimes

Your calls were answered in a courteous and helpful manner. Usually

Your calls were answered in a courteous and helpful manner. Always

The receptionist who greeted you was friendly and helpful.

The receptionist who greeted you was friendly and helpful. Never

The receptionist who greeted you was friendly and helpful. Sometimes

The receptionist who greeted you was friendly and helpful. Usually

The receptionist who greeted you was friendly and helpful. Always

You were kept informed of delays.

You were kept informed of delays. Never

You were kept informed of delays. Sometimes

You were kept informed of delays. Usually

You were kept informed of delays. Always

	Never	Sometimes	Usually	Always
The medical assistant that escorted you to the room was courteous and helpful.	The medical assistant that escorted you to the room was courteous and helpful. Never	The medical assistant that escorted you to the room was courteous and helpful. Sometimes	The medical assistant that escorted you to the room was courteous and helpful. Usually	The medical assistant that escorted you to the room was courteous and helpful. Always
The amount of time you waited in the room was reasonable.	The amount of time you waited in the room was reasonable. Never	The amount of time you waited in the room was reasonable. Sometimes	The amount of time you waited in the room was reasonable. Usually	The amount of time you waited in the room was reasonable. Always
The medical assistants answered your questions and concerns in a clear manner.	The medical assistants answered your questions and concerns in a clear manner. Never	The medical assistants answered your questions and concerns in a clear manner. Sometimes	The medical assistants answered your questions and concerns in a clear manner. Usually	The medical assistants answered your questions and concerns in a clear manner. Always
You are/were informed of lab, pathology and/or imaging results in a timely manner.	You are/were informed of lab, pathology and/or imaging results in a timely manner. Never	You are/were informed of lab, pathology and/or imaging results in a timely manner. Sometimes	You are/were informed of lab, pathology and/or imaging results in a timely manner. Usually	You are/were informed of lab, pathology and/or imaging results in a timely manner. Always

Never

Sometimes

Usually

Always

The medical assistant that escorted you to the room was courteous and helpful.

The medical assistant that escorted you to the room was courteous and helpful. Never

The medical assistant that escorted you to the room was courteous and helpful. Sometimes

The medical assistant that escorted you to the room was courteous and helpful. Usually

The medical assistant that escorted you to the room was courteous and helpful. Always

The amount of time you waited in the room was reasonable.

The amount of time you waited in the room was reasonable. Never

The amount of time you waited in the room was reasonable. Sometimes

The amount of time you waited in the room was reasonable. Usually

The amount of time you waited in the room was reasonable. Always

The medical assistants answered your questions and concerns in a clear manner.

The medical assistants answered your questions and concerns in a clear manner. Never

The medical assistants answered your questions and concerns in a clear manner. Sometimes

The medical assistants answered your questions and concerns in a clear manner. Usually

The medical assistants answered your questions and concerns in a clear manner. Always

You are/were informed of lab, pathology and/or imaging results in a timely manner.

You are/were informed of lab, pathology and/or imaging results in a timely manner. Never

You are/were informed of lab, pathology and/or imaging results in a timely manner. Sometimes

You are/were informed of lab, pathology and/or imaging results in a timely manner. Usually

You are/were informed of lab, pathology and/or imaging results in a timely manner. Always

	Never	Sometimes	Usually	Always
The office was clean and comfortable.	The office was clean and comfortable. Never	The office was clean and comfortable. Sometimes	The office was clean and comfortable. Usually	The office was clean and comfortable. Always
It is easy to make appointments for follow up.	It is easy to make appointments for follow up. Never	It is easy to make appointments for follow up. Sometimes	It is easy to make appointments for follow up. Usually	It is easy to make appointments for follow up. Always
It is easy to make appiontments for emergencies.	It is easy to make appiontments for emergencies. Never	It is easy to make appiontments for emergencies. Sometimes	It is easy to make appiontments for emergencies. Usually	It is easy to make appiontments for emergencies. Always
The office hours are convenient.	The office hours are convenient. Never	The office hours are convenient. Sometimes	The office hours are convenient. Usually	The office hours are convenient. Always

Never

Sometimes

Usually

Always

The office was clean and comfortable.

The office was clean and comfortable. Never

The office was clean and comfortable. Sometimes

The office was clean and comfortable. Usually

The office was clean and comfortable. Always

It is easy to make appointments for follow up.

It is easy to make appointments for follow up. Never

It is easy to make appointments for follow up. Sometimes

It is easy to make appointments for follow up. Usually

It is easy to make appointments for follow up. Always

It is easy to make appiontments for emergencies.

It is easy to make appiontments for emergencies. Never

It is easy to make appiontments for emergencies. Sometimes

It is easy to make appiontments for emergencies. Usually

It is easy to make appiontments for emergencies. Always

The office hours are convenient.

The office hours are convenient. Never

The office hours are convenient. Sometimes

The office hours are convenient. Usually

The office hours are convenient. Always

	Never	Sometimes	Usually	Always
You are satisfied with the quality of care you received.	You are satisfied with the quality of care you received. Never	You are satisfied with the quality of care you received. Sometimes	You are satisfied with the quality of care you received. Usually	You are satisfied with the quality of care you received. Always
The provider answered your questions and concerns in a clear manner.	The provider answered your questions and concerns in a clear manner. Never	The provider answered your questions and concerns in a clear manner. Sometimes	The provider answered your questions and concerns in a clear manner. Usually	The provider answered your questions and concerns in a clear manner. Always
Your Provider discussed how to improve your health.	Your Provider discussed how to improve your health. Never	Your Provider discussed how to improve your health. Sometimes	Your Provider discussed how to improve your health. Usually	Your Provider discussed how to improve your health. Always
Your Provider involves other Physicians and Caregivers in your care when needed.	Your Provider involves other Physicians and Caregivers in your care when needed. Never	Your Provider involves other Physicians and Caregivers in your care when needed. Sometimes	Your Provider involves other Physicians and Caregivers in your care when needed. Usually	Your Provider involves other Physicians and Caregivers in your care when needed. Always
The provider spent an appropriate amount of time with you.	The provider spent an appropriate amount of time with you. Never	The provider spent an appropriate amount of time with you. Sometimes	The provider spent an appropriate amount of time with you. Usually	The provider spent an appropriate amount of time with you. Always
The provider treated you in a caring and respectful manner.	The provider treated you in a caring and respectful manner. Never	The provider treated you in a caring and respectful manner. Sometimes	The provider treated you in a caring and respectful manner. Usually	The provider treated you in a caring and respectful manner. Always

Never

Sometimes

Usually

Always

You are satisfied with the quality of care you received.

You are satisfied with the quality of care you received. Never

You are satisfied with the quality of care you received. Sometimes

You are satisfied with the quality of care you received. Usually

You are satisfied with the quality of care you received. Always

The provider answered your questions and concerns in a clear manner.

The provider answered your questions and concerns in a clear manner. Never

The provider answered your questions and concerns in a clear manner. Sometimes

The provider answered your questions and concerns in a clear manner. Usually

The provider answered your questions and concerns in a clear manner. Always

Your Provider discussed how to improve your health.

Your Provider discussed how to improve your health. Never

Your Provider discussed how to improve your health. Sometimes

Your Provider discussed how to improve your health. Usually

Your Provider discussed how to improve your health. Always

Your Provider involves other Physicians and Caregivers in your care when needed.

Your Provider involves other Physicians and Caregivers in your care when needed. Never

Your Provider involves other Physicians and Caregivers in your care when needed. Sometimes

Your Provider involves other Physicians and Caregivers in your care when needed. Usually

Your Provider involves other Physicians and Caregivers in your care when needed. Always

The provider spent an appropriate amount of time with you.

The provider spent an appropriate amount of time with you. Never

The provider spent an appropriate amount of time with you. Sometimes

The provider spent an appropriate amount of time with you. Usually

The provider spent an appropriate amount of time with you. Always

The provider treated you in a caring and respectful manner.

The provider treated you in a caring and respectful manner. Never

The provider treated you in a caring and respectful manner. Sometimes

The provider treated you in a caring and respectful manner. Usually

The provider treated you in a caring and respectful manner. Always

NCPS Northcrest Ortho Patient Sat

NorthCrest Orthopaedics & Sports Medicine Survey

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* 1. How did you hear about our office?

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* 2. Please rate your experience with the front desk:

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* 3. Please rate your experience with the medical staff:

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* 4. Please comment on the facility:

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* 5. Please select your provider:

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* 6. Please select your location:

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* 7. Please rate your experience with that provider: