BROC Patient Satisfaction Survey

1.Please select your physician for this visit
2.Please select your mid-level provider for this visit (if applicable)
3.How did you first hear about BROC- Baton Rouge Orthopaedic Clinic
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 likelyExtremely likely
5.How convenient was the appointment time you were able to get?
6.Overall, how would you rate the service you received from the staff at our office?
7.How comfortable was the lobby and waiting area?
8.Did your appointment with your provider start early, late or on time?
9.How much do you trust your provider to make medical decisions that are in your best interests?
10.How well did your provider explain your treatment options?
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.
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