Your feedback is important to us!

Question Title

* 1. Who is your Primary Care Provider (PCP)?

Question Title

* 2. What type of insurance do you have?

Question Title

* 3. Do you know what to do if you need care outside of our regular office hours?

Question Title

* 4. Do you feel our hours of operation are convenient?

Question Title

* 5. How would you estimate the amount of time you waited during your visit?

Question Title

* 6. Did the office staff keep you informed if your appointment was going to be delayed?

Question Title

* 7. When you made this appointment, were you able to get an appointment on the day you asked for?

Question Title

* 8. Did you see the doctor that you wanted to see today?

Question Title

* 9. Are your prescription refill requests completed in a timely manner?

Question Title

* 10. At your most recent office visit, how were you treated by the administration staff?

Question Title

* 11. At your most recent visit, how were you treated by the nursing staff?

Question Title

* 12. If you had an appointment with a physician or a nurse practitioner, did you feel they spent enough time with you?

Question Title

* 13. If you had an appointment with a physician or a nurse practitioner, did they explain things in a way that was easy to understand?

Question Title

* 14. If you had an appointment with a physician or a nurse practitioner, did you feel that they listened and respected you as a partner in care?

Question Title

* 15. If you had an appointment with a physician or a nurse practitioner, did they involve you in decisions about your care as much as you wanted?

Question Title

* 16. If you had an appointment with a physician or a nurse practitioner, how informed and up-to-date were they about the care you received from other care providers?

Question Title

* 17. Is there anything else you would like to tell us?

T