Robert E. Mitchell Center Patron Satisfaction Feedback Survey

We are interested in how well we provided service and care to you during your visit. Your comments will help us improve our processes. Please take a few minutes to complete this assessment. If you have a specific comment or concern you wish to express not addressed in the assessment, please contact Dr. Jeffrey L. Moore, Executive Director of the Robert E. Mitchell Center (Office 850-452-3156).

	Very Good	Good	Fair	Poor	Very Poor	N/A
Initial Phone Contact	Initial Phone Contact Very Good	Initial Phone Contact Good	Initial Phone Contact Fair	Initial Phone Contact Poor	Initial Phone Contact Very Poor	Initial Phone Contact N/A
Scheduling Mitchell Center	Scheduling Mitchell Center Very Good	Scheduling Mitchell Center Good	Scheduling Mitchell Center Fair	Scheduling Mitchell Center Poor	Scheduling Mitchell Center Very Poor	Scheduling Mitchell Center N/A
Scheduling Outside Consults	Scheduling Outside Consults Very Good	Scheduling Outside Consults Good	Scheduling Outside Consults Fair	Scheduling Outside Consults Poor	Scheduling Outside Consults Very Poor	Scheduling Outside Consults N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Initial Phone Contact

Initial Phone Contact Very Good

Initial Phone Contact Good

Initial Phone Contact Fair

Initial Phone Contact Poor

Initial Phone Contact Very Poor

Initial Phone Contact N/A

Scheduling Mitchell Center

Scheduling Mitchell Center Very Good

Scheduling Mitchell Center Good

Scheduling Mitchell Center Fair

Scheduling Mitchell Center Poor

Scheduling Mitchell Center Very Poor

Scheduling Mitchell Center N/A

Scheduling Outside Consults

Scheduling Outside Consults Very Good

Scheduling Outside Consults Good

Scheduling Outside Consults Fair

Scheduling Outside Consults Poor

Scheduling Outside Consults Very Poor

Scheduling Outside Consults N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
Ticketing	Ticketing Very Good	Ticketing Good	Ticketing Fair	Ticketing Poor	Ticketing Very Poor	Ticketing N/A
Orders	Orders Very Good	Orders Good	Orders Fair	Orders Poor	Orders Very Poor	Orders N/A
Car Rental	Car Rental Very Good	Car Rental Good	Car Rental Fair	Car Rental Poor	Car Rental Very Poor	Car Rental N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Ticketing

Ticketing Very Good

Ticketing Good

Ticketing Fair

Ticketing Poor

Ticketing Very Poor

Ticketing N/A

Orders

Orders Very Good

Orders Good

Orders Fair

Orders Poor

Orders Very Poor

Orders N/A

Car Rental

Car Rental Very Good

Car Rental Good

Car Rental Fair

Car Rental Poor

Car Rental Very Poor

Car Rental N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
Ease in Locating	Ease in Locating Very Good	Ease in Locating Good	Ease in Locating Fair	Ease in Locating Poor	Ease in Locating Very Poor	Ease in Locating N/A
Reception by BOQ Staff	Reception by BOQ Staff Very Good	Reception by BOQ Staff Good	Reception by BOQ Staff Fair	Reception by BOQ Staff Poor	Reception by BOQ Staff Very Poor	Reception by BOQ Staff N/A
Quality of Room	Quality of Room Very Good	Quality of Room Good	Quality of Room Fair	Quality of Room Poor	Quality of Room Very Poor	Quality of Room N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Ease in Locating

Ease in Locating Very Good

Ease in Locating Good

Ease in Locating Fair

Ease in Locating Poor

Ease in Locating Very Poor

Ease in Locating N/A

Reception by BOQ Staff

Reception by BOQ Staff Very Good

Reception by BOQ Staff Good

Reception by BOQ Staff Fair

Reception by BOQ Staff Poor

Reception by BOQ Staff Very Poor

Reception by BOQ Staff N/A

Quality of Room

Quality of Room Very Good

Quality of Room Good

Quality of Room Fair

Quality of Room Poor

Quality of Room Very Poor

Quality of Room N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
Reception/Welcoming	Reception/Welcoming Very Good	Reception/Welcoming Good	Reception/Welcoming Fair	Reception/Welcoming Poor	Reception/Welcoming Very Poor	Reception/Welcoming N/A
Mitchell Center Staff	Mitchell Center Staff Very Good	Mitchell Center Staff Good	Mitchell Center Staff Fair	Mitchell Center Staff Poor	Mitchell Center Staff Very Poor	Mitchell Center Staff N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Reception/Welcoming

Reception/Welcoming Very Good

Reception/Welcoming Good

Reception/Welcoming Fair

Reception/Welcoming Poor

Reception/Welcoming Very Poor

Reception/Welcoming N/A

Mitchell Center Staff

Mitchell Center Staff Very Good

Mitchell Center Staff Good

Mitchell Center Staff Fair

Mitchell Center Staff Poor

Mitchell Center Staff Very Poor

Mitchell Center Staff N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
Vital Signs	Vital Signs Very Good	Vital Signs Good	Vital Signs Fair	Vital Signs Poor	Vital Signs Very Poor	Vital Signs N/A
Blood Draw	Blood Draw Very Good	Blood Draw Good	Blood Draw Fair	Blood Draw Poor	Blood Draw Very Poor	Blood Draw N/A
Pulmonary Function Test	Pulmonary Function Test Very Good	Pulmonary Function Test Good	Pulmonary Function Test Fair	Pulmonary Function Test Poor	Pulmonary Function Test Very Poor	Pulmonary Function Test N/A
Ophthalmology	Ophthalmology Very Good	Ophthalmology Good	Ophthalmology Fair	Ophthalmology Poor	Ophthalmology Very Poor	Ophthalmology N/A
ENT	ENT Very Good	ENT Good	ENT Fair	ENT Poor	ENT Very Poor	ENT N/A
Psychology	Psychology Very Good	Psychology Good	Psychology Fair	Psychology Poor	Psychology Very Poor	Psychology N/A
Mitchell Center Staff Physician	Mitchell Center Staff Physician Very Good	Mitchell Center Staff Physician Good	Mitchell Center Staff Physician Fair	Mitchell Center Staff Physician Poor	Mitchell Center Staff Physician Very Poor	Mitchell Center Staff Physician N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Vital Signs

Vital Signs Very Good

Vital Signs Good

Vital Signs Fair

Vital Signs Poor

Vital Signs Very Poor

Vital Signs N/A

Blood Draw

Blood Draw Very Good

Blood Draw Good

Blood Draw Fair

Blood Draw Poor

Blood Draw Very Poor

Blood Draw N/A

Pulmonary Function Test

Pulmonary Function Test Very Good

Pulmonary Function Test Good

Pulmonary Function Test Fair

Pulmonary Function Test Poor

Pulmonary Function Test Very Poor

Pulmonary Function Test N/A

Ophthalmology

Ophthalmology Very Good

Ophthalmology Good

Ophthalmology Fair

Ophthalmology Poor

Ophthalmology Very Poor

Ophthalmology N/A

ENT

ENT Very Good

ENT Good

ENT Fair

ENT Poor

ENT Very Poor

ENT N/A

Psychology

Psychology Very Good

Psychology Good

Psychology Fair

Psychology Poor

Psychology Very Poor

Psychology N/A

Mitchell Center Staff Physician

Mitchell Center Staff Physician Very Good

Mitchell Center Staff Physician Good

Mitchell Center Staff Physician Fair

Mitchell Center Staff Physician Poor

Mitchell Center Staff Physician Very Poor

Mitchell Center Staff Physician N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
X-Ray	X-Ray Very Good	X-Ray Good	X-Ray Fair	X-Ray Poor	X-Ray Very Poor	X-Ray N/A
Mammogram	Mammogram Very Good	Mammogram Good	Mammogram Fair	Mammogram Poor	Mammogram Very Poor	Mammogram N/A
Bone Density	Bone Density Very Good	Bone Density Good	Bone Density Fair	Bone Density Poor	Bone Density Very Poor	Bone Density N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

X-Ray

X-Ray Very Good

X-Ray Good

X-Ray Fair

X-Ray Poor

X-Ray Very Poor

X-Ray N/A

Mammogram

Mammogram Very Good

Mammogram Good

Mammogram Fair

Mammogram Poor

Mammogram Very Poor

Mammogram N/A

Bone Density

Bone Density Very Good

Bone Density Good

Bone Density Fair

Bone Density Poor

Bone Density Very Poor

Bone Density N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
Questions Answered	Questions Answered Very Good	Questions Answered Good	Questions Answered Fair	Questions Answered Poor	Questions Answered Very Poor	Questions Answered N/A
Significant Findings Discussed	Significant Findings Discussed Very Good	Significant Findings Discussed Good	Significant Findings Discussed Fair	Significant Findings Discussed Poor	Significant Findings Discussed Very Poor	Significant Findings Discussed N/A
Initial Labs/X-Ray Given	Initial Labs/X-Ray Given Very Good	Initial Labs/X-Ray Given Good	Initial Labs/X-Ray Given Fair	Initial Labs/X-Ray Given Poor	Initial Labs/X-Ray Given Very Poor	Initial Labs/X-Ray Given N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Questions Answered

Questions Answered Very Good

Questions Answered Good

Questions Answered Fair

Questions Answered Poor

Questions Answered Very Poor

Questions Answered N/A

Significant Findings Discussed

Significant Findings Discussed Very Good

Significant Findings Discussed Good

Significant Findings Discussed Fair

Significant Findings Discussed Poor

Significant Findings Discussed Very Poor

Significant Findings Discussed N/A

Initial Labs/X-Ray Given

Initial Labs/X-Ray Given Very Good

Initial Labs/X-Ray Given Good

Initial Labs/X-Ray Given Fair

Initial Labs/X-Ray Given Poor

Initial Labs/X-Ray Given Very Poor

Initial Labs/X-Ray Given N/A

	Very Good	Good	Fair	Poor	Very Poor	N/A
Letter with labs/X-Ray received in 4 weeks	Letter with labs/X-Ray received in 4 weeks Very Good	Letter with labs/X-Ray received in 4 weeks Good	Letter with labs/X-Ray received in 4 weeks Fair	Letter with labs/X-Ray received in 4 weeks Poor	Letter with labs/X-Ray received in 4 weeks Very Poor	Letter with labs/X-Ray received in 4 weeks N/A
Glasses received in 3 weeks	Glasses received in 3 weeks Very Good	Glasses received in 3 weeks Good	Glasses received in 3 weeks Fair	Glasses received in 3 weeks Poor	Glasses received in 3 weeks Very Poor	Glasses received in 3 weeks N/A
Liquidating Travel Claim	Liquidating Travel Claim Very Good	Liquidating Travel Claim Good	Liquidating Travel Claim Fair	Liquidating Travel Claim Poor	Liquidating Travel Claim Very Poor	Liquidating Travel Claim N/A

Very Good

Good

Fair

Poor

Very Poor

N/A

Letter with labs/X-Ray received in 4 weeks

Letter with labs/X-Ray received in 4 weeks Very Good

Letter with labs/X-Ray received in 4 weeks Good

Letter with labs/X-Ray received in 4 weeks Fair

Letter with labs/X-Ray received in 4 weeks Poor

Letter with labs/X-Ray received in 4 weeks Very Poor

Letter with labs/X-Ray received in 4 weeks N/A

Glasses received in 3 weeks

Glasses received in 3 weeks Very Good

Glasses received in 3 weeks Good

Glasses received in 3 weeks Fair

Glasses received in 3 weeks Poor

Glasses received in 3 weeks Very Poor

Glasses received in 3 weeks N/A

Liquidating Travel Claim

Liquidating Travel Claim Very Good

Liquidating Travel Claim Good

Liquidating Travel Claim Fair

Liquidating Travel Claim Poor

Liquidating Travel Claim Very Poor

Liquidating Travel Claim N/A

Robert E. Mitchell Center Patron Satisfaction Feedback

Question Title

* 1. Patron Type

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* 2. Branch Of Service

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* 3. Appointment

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* 4. Travel

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* 5. Bachelor Officer Quarters (BOQ)

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* 6. Arrival at the Clinic

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* 7. Physical Examination Process

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* 8. Hospital (if applicable)

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* 9. Out Briefing by Mitchell Center Staff Physician

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* 10. Follow Up

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* 11. Please list any additional Comments