The check-in staff was welcoming, friendly and helpful.

Question Title

* 1. The check-in staff was welcoming, friendly and helpful.

If you used the Kiosk to check in please tell us what you thought about the process.

Question Title

* 2. If you used the Kiosk to check in please tell us what you thought about the process.

How do you feel about the amount of time it took you to get an appointment?

Question Title

* 3. How do you feel about the amount of time it took you to get an appointment?

The length of time you spent waiting in the office

Question Title

* 4. The length of time you spent waiting in the office

The amount of time spent with the provider you saw

Question Title

* 5. The amount of time spent with the provider you saw

The personal manner (courtesy, respect, sensitivity, friendliness) of the provider you saw

Question Title

* 6. The personal manner (courtesy, respect, sensitivity, friendliness) of the provider you saw

The provider's sensitivity to your needs and/or concerns

Question Title

* 7. The provider's sensitivity to your needs and/or concerns

Your satisfaction with how well this office communicates with other providers involved in your care

Question Title

* 8. Your satisfaction with how well this office communicates with other providers involved in your care

Your feeling about the overall quality of this visit

Question Title

* 9. Your feeling about the overall quality of this visit

If you could go anywhere to get healthcare, would you choose this practice or prefer to go somewhere else?

Question Title

* 10. If you could go anywhere to get healthcare, would you choose this practice or prefer to go somewhere else?

Would you recommend this practice to your friends, family and peers?

Question Title

* 11. Would you recommend this practice to your friends, family and peers?

What is your age?

Question Title

* 12. What is your age?

Your provider's name

Question Title

* 13. Your provider's name

How did you hear about Coastal Women's Healthcare?

Question Title

* 14. How did you hear about Coastal Women's Healthcare?

Is Coastal Women's Healthcare your sole provider for medical care?

Question Title

* 15. Is Coastal Women's Healthcare your sole provider for medical care?

Additional Comments

Question Title

* 16. Additional Comments

Your Name (Optional)

Question Title

* 17. Your Name (Optional)

T