How Satisfied Are You With...

* 1. The wait to get an appointment?

* 2. Getting through to the office by phone?

* 3. Length of time waiting at the office to be seen?

* 4. Time spent with the provider you saw?

* 5. Your practitioners ability to educate you on the patients current condition/disease?

* 6. How well your provider provided you with resources that help with managing your care?

* 7. The personal manner (courtesy, respect, sensitivity, friendliness) of the provider you saw?

* 8. The healthcare you received at this practice?

* 9. I am delighted about everything about this practice because my expectations for service and quality of care are met or exceeded.

* 10. In the last 12 months, how many times have you gone to the emergency room or urgent care for your care?

* 11. Is there anything our practice can do to improve the care and services for you?

* 12. Would you recommend this practice to others?