Customer Satisfaction Survey Question Title * 1. Which facility were you seen at Baseline Dental Baseline Internal Medicine Baseline Pediatrics Baseline Women's Health Gateway Family Practice Gateway Pediatrics Gateway Women's Health Maryvale Family Practice Maryvale Pediatrics Maryvale Women's Health Maryvale Dental Tempe Goodyear Christown Sunrise Atkinson Question Title * 2. In the last twelve months, did the provider engage you in conversation about your care and did he/she explain things in a manner that was easy to understand? Yes No Not Applicable Question Title * 3. In the last twelve months when you phoned your provider during regular office hours, how often did you get an answer to your medical question in a timely manner? Always Sometimes Never Not applicable Question Title * 4. Wait time includes the waiting room and exam room. In the last twelve months how often did you see this provider in a timely fashion? Always Sometimes Never Question Title * 5. Optional Question: May we contact you regarding this survey? Yes No Additional Comments Optional Next
