ICMS Patient Satisfaction Survey

1.Service this survey is about

2.Which provider are you completing this survey about?

3.Ease of making appointment for checkups (physical exams, well visits, routine follow-up appointments)?

4.Ease of making appointments for sickness/dental emergency?

5.Ease of contacting your doctor when our office is closed (nights and weekends)?

6.The time it takes someone from our office to respond when you call the office?

7.Waiting time in our office?

8.Ease of obtaining follow-up information and care (test results, medicines, care instructions)

9.Overall care during your appointment?

10.Our office's appearance?

11.Our office's convenience (location, parking, hours, office layout)?

12.The way we teach you about improving your health?

13.The way your doctor involves other doctors and caregivers in your care when needed?

How satisfied are you with the following?