BROC Patient Satisfaction Survey
1.
Please select your physician for this visit
Shaun Accardo, M.D.
Rick I. Ahmad, M.D.
A. Brent Bankston, M.D.
Larry S. "Chip" Bankston, M.D.
G. Michael Blanchard, M.D.
Ryan L. Bliss, M.D.
Timothy C. Bowlin, M.D.
Jared L. Braud, M.D.
Brad A. Culotta, M.D.
Robert "Bobby" Easton, M.D.
Henry L. Eiserloh, M.D.
Stephen W. Etheredge, M.D.
John R. Faust, M.D.
David G. Ferachi, M.D.
Mark H. Field, M.D.
Kyle C. Girod, M.D.
Craig C. Greene, M.D.
R. Bryan Griffith, M.D.
Nick Hatzis, M.D.
James "Jimmy" Lalonde, M.D.
Niels J. Linschoten, M.D.
Chad L. Loup, M.D.
Brian T. Perry, M.D.
R. David Rabalais, M.D.
Catherine J. Riché, M.D.
Kevin B. Riché, M.D.
Michael R. Robichaux, M.D.
Ricardo J. Rodriguez, M.D.
Jason E. Smith, M.D.
Adam N. Whatley, M.D.
John M. Whatley, M.D.
Wame N. Waggenspack, M.D.
Carey E. Winder, M.D.
Benjamin R. Robichaux, M.D
John T. Wilkinson, MD
2.
Please select your mid-level provider for this visit (if applicable)
Ryan Bihm, PA-C
Logan Bownds, PA-C
Matthew Chappelle, PA-C
Casie Courrege, PA-C
Jessica Dettman, PA-C
Brooke Fenn, PA-C
Jade Gautreau, PA-C
Tayler, Guedry, PA-C
Josh Hall, PA-C
Kyle Hargroder, ANP-C
Amanda Kuber, PA-C
Garrett LeBlanc, PA-C
Mary Beth Maddox, PA-C
Kelly McGee, ANP-C
David Messier, PA-C
William Moss, PA-C
Lance Nelson, PA-C
McKenzie Nelson, PA-C
Dwayne Rabalais, PA-C
Shannon Speeg, PA-C
Greg Taliaferro, ANP-C
Emily Territo, PA-C
Jeff Turner, PA-C
Anthony VanDuzee, PA-C
Matthew Walker, PA-C
Paul Welsh, PA-C
Maddie Windstein, PA-C
Brian T. Perry, M.D.
3.
How did you first hear about BROC- Baton Rouge Orthopaedic Clinic
Referral from a provider
Billboard Ad
Google Search
Social Media (Facebook, Instagram, etc.)
Word of Mouth (Friend/Family Member)
Radio Ad
Print (Business Report, 225 Magazine, etc.)
Community Events (High School Sports, etc.)
4.
On a scale of 0 to 10,
How likely is it that you would recommend your provider to a friend or family member?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
5.
How convenient was the appointment time you were able to get?
Extremely convenient
Very convenient
Somewhat convenient
Not so convenient
Not at all convenient
6.
Overall, how would you rate the service you received from the staff at our office?
Excellent
Very good
Good
Fair
Poor
7.
How comfortable was the lobby and waiting area?
Extremely comfortable
Very comfortable
Somewhat comfortable
Not so comfortable
Not at all comfortable
8.
Did your appointment with your provider start early, late or on time?
Very early
Somewhat early
On time
Somewhat late
Very late
9.
How much do you trust your provider to make medical decisions that are in your best interests?
A great deal
A lot
A moderate amount
A little
Not at all
10.
How well did your provider explain your treatment options?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
11.
Is there anything we could have done to improve your last visit?
12.
Please provide any comments or suggestions regarding your experience at BROC.
