Question Title

* 1. First, How easy was it to schedule an appointment? 
Then, In the last 12 months, was it always easy to get a referral to a specialist when needed? 

Question Title

* 2. 2. Upon arrival, how would you rate your experience with our staff?


Question Title

* 3. How comfortable was our waiting area?

Question Title

* 4. For your scheduled appointment, were you seen:

Question Title

* 5. Please rate the level of knowledge, care and attention you received from your provider.

Question Title

* 6. Were you instructed how to contact a provider if a problem develops?

Question Title

* 7. If you had any questions, problems or concerns about your care, were they addressed in a timely manner?

Question Title

* 8. Please rate your overall satisfaction with the care you received at our practice.

Question Title

* 9. Would you recommend our practice to your friends or family if they had a need for our services?

Question Title

* 10. Additional comments: _______________________________________________________________________________________

_______________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

0 of 10 answered
 

T