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Patient Satisfaction
33.
Satisfaction Survey
Please let us know if we've met your expectations and if not, why and how we can improve. Thank you.
1.
My calls are answered within a reasonable amount of time.
Agree
Disagree
Neither Agree or Disagree
Other (please specify)
2.
The telephone staff was courteous, helpful, and caring to me.
Agree
Disagree
Neither
Other (please specify)
3.
The number of days I had to wait for my appointment was reasonable for the type of appointment I needed.
Agree
Disagree
Neither
Other (please specify)
4.
Please select the location of your most recent appointment.
Hampton
Newport News
Williamsburg
Other (please specify)
5.
Please select the provider that you see.
Dr. Naved Jafri
Dr. Obaid Jafri
Dr. Basco
Dr. Godbout
Dr. Wolner
Karen Brophy
Rachel McAdams
6.
During this visit, the provider explained details about my condition(s), any related procedures, medications, treatment in a way that I could understand?
Agree
Disagree
Neither
Why
7.
The provider, nurse/MA, and staff were kind, knowledgeable, and helpful.
Agree
Disagree
Neither
Why
8.
Our check-in/check-out process was professional and conducted within a reasonable amount of time.
Agree
Disagree
Neither
Other (please specify)
9.
Rate your experience with us on a scale from 1-5; 1 being poor, 5 being excellent.
1- Poor
2- Below Average
3- Average
4- Above Average
5- Excellent
Other (please specify)
10.
Please share with us how to improve our service. Also, please tell us if any staff member did not meet your expectations or went above and beyond your expectations.
We would love your input on how to better serve your needs!
If you would like to be contacted, please give us your information of where you can be reached, phone or email.