Patient Satisfaction Survey 08-2018
We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. All responses will be kept confidential and anonymous.
OK
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1.
Who is your primary care provider?
(Required.)
Dr. Andrews
Dr. Rennard
Dr. Ladd
Dr. Sims
Dr. Bailes
Dr. Fleming
Dr. Thielman
Amanda Butterfield, NP
Maria Rivarola, NP
2.
For each statement or question please identify the answer that best describes your experience of care
during the past twelve months
at Biltmore Medical Associates.
Always
Usually
Sometimes
Never
When I call to get an appointment. I am able to get an appointment as soon as I feel I need one
Always
Usually
Sometimes
Never
When I call the office
during
office hours, I get an answer to my medical question that same day.
Always
Usually
Sometimes
Never
When I call the office
after
office hours, I get an answer to my medical question as soon as I need it.
Always
Usually
Sometimes
Never
My provider listens to my concerns and questions.
Always
Usually
Sometimes
Never
My provider gives me easy to understand instructions about how to take care of my health problems or concerns.
Always
Usually
Sometimes
Never
I believe that my provider and the office staff have a commitment to provide the quality care and supports that I need.
Always
Usually
Sometimes
Never
The nurses, receptionists, lab technicians and other staff treat me with respect and care.
Always
Usually
Sometimes
Never
When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results.
Always
Usually
Sometimes
Never
My provider communicates with other health professionals about my care (such as specialists, therapists).
Always
Usually
Sometimes
Never
When my provider orders a referral to another office, I am contacted for an appointment in a timely manner
Always
Usually
Sometimes
Never
How often did someone in the practice talk with you about specific goals for your health?
Always
Usually
Sometimes
Never
How often did someone in the practice ask you if there are things that make it hard for you to take care of your health?
Always
Usually
Sometimes
Never
3.
For each statement or question please identify the answer that best describes your experience of care
during the past twelve months
at Biltmore Medical Associates.
Excellent
Very Good
Good
Fair
Poor
How acceptable is the wait time in the office?
Excellent
Very Good
Good
Fair
Poor
How acceptable is the time the provider spends with you?
Excellent
Very Good
Good
Fair
Poor
4.
How likely are you to recommend this office to your family and friends?
Very Likely
Somewhat Likely
Likely
Not So Likely
Not At All
Very Likely
Somewhat Likely
Likely
Not So Likely
Not At All
5.
What is your gender?
Male
Female
6.
What is your age?
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65-74 years old
75 years or older
7.
What is your ethnicity?
White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian or Pacific Islander
Other (please specify)
8.
What is the highest degree or level of school you have completed?
No schooling completed
Some high school
High school
Some college
Advanced degree
9.
Please tell us anything we do well
and
how we can improve the care and services we offer. Thank you for your time and feedback!
