Your opinions and feelings are important to us.



The physicians and staff of Jewett Orthopaedic Clinic are dedicated to giving you the highest quality medical care and the best possible personal attention. Please take a moment to complete this questionnaire to help us serve you better!

* 1. Which physician did you see?:

* 2. At which location did you visit?

* 3. APPOINTMENT

  EXCELLENT GOOD AVERAGE POOR VERY POOR
Did you find it easy to schedule an appointment in a timely manner?

* 4. STAFF

  EXCELLENT GOOD AVERAGE POOR VERY POOR
Was the staff courteous and helpful?

* 5. OVERALL

  EXCELLENT GOOD AVERAGE POOR VERY POOR
How would you rate your experience

* 6. Do you have any recommendations on how we might serve you better?

* 7. Do you have any other comments, questions, or concerns?

* 8. CONTACT INFO

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