Celebration Orthopaedic Patient Satisfaction Survey- Dr. Lalli

Question Title

* 1. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

Very Easy

Somewhat Easy

Neither Easy nor Difficult

Somewhat Difficult

Very Difficult

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* 2. Did your appointment with your provider start early, late or on time?

Very Early

Slightly Early

On TIme

Somewhat Late

Very Late

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* 3. How much do you trust your provider to make medical decisions that are in your best interests?

A great deal

A lot

A moderate amount

A little

Not at all

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* 4. How well did your provider answer your questions?

Extremely Well

Very Well

Moderately Well

Slightly Well

Not at all well

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* 5. How well did your provider explain your treatment options?

Extremely Well

Very Well

Moderately Well

Slightly well

Not at all well

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* 6. How well did your provider explain your follow-up care?

Extremely Well

Very Well

Moderately Well

Slightly Well

Not at all well

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* 7. Overall, how would you rate the service you received from the staff at our office?

Excellent

Very Good

Good

Fair

Poor

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* 8. How likely is it that you would recommend your provider to a friend or colleague?

Extremely Likely

Very Likely

Likely

Possibly

Not at all Likely

Celebration Orthopaedic Patient Satisfaction Survey- Dr. Lalli

Question Title

* 1. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

Question Title

* 2. Did your appointment with your provider start early, late or on time?

Question Title

* 3. How much do you trust your provider to make medical decisions that are in your best interests?

Question Title

* 4. How well did your provider answer your questions?

Question Title

* 5. How well did your provider explain your treatment options?

Question Title

* 6. How well did your provider explain your follow-up care?

Question Title

* 7. Overall, how would you rate the service you received from the staff at our office?

Question Title

* 8. How likely is it that you would recommend your provider to a friend or colleague?

Question Title

* 9. Please enter any additional comments you would like to share...

Question Title

* 10. Please Enter First Name and Last Initial.