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Patient Satisfaction Survey
1.
I am satisfied with the amount of time I spent in the clinic at my last visit.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
2.
What time of day do you prefer for your appointments?
AM
PM
After hours early AM
After hours after 5 PM
Weekends
3.
My provider and medical assistant explains information about my health in a way that I can easily understand.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
4.
My provider communicates with other health care professionals about my care(such as specialists, therapists).
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
5.
My provider communicates with me about my lab, xray, and procedure results in a timely manner.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
6.
My provider helps me set goals towards improving my personal health and encourages me to meet those.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
7.
I am satisfied with the way I was treated by the office staff.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
8.
In the last six months, when you contacted your clinician after regular business hours , how quickly was your call returned?
0-15 minutes
16-30 minutes
31 min to 1 hour
1-2 hours
over 2 hours
9.
I am satisfied with the way I was treated by the provider.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
10.
Overall, my visit to the office was a pleasant experience.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Current Progress,
0 of 10 answered