David M. Ratzman, M.D. - Anesthesia Pain Consultants of Indiana

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* 1. Which is your current insurance?

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* 2. How long have you been coming to see Dr. Ratzman?

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* 3. In the last 12 months, how many times did you visit Dr. Ratzman?

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* 4. In the last 12 months, did you phone Dr. Ratzman’s office to get an appointment for an illness, injury, or condition that needed care right away?

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* 5. In the last 12 months, when you phoned Dr. Ratzman’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?

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* 6. When you phoned Dr. Ratzman’s office during regular office hours, how often did you get an answer to your medical question that same day?

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* 7. In the last 12 months, when you phoned Dr. Ratzman’s office after regular office hours, how often did you get an answer to your medical question as soon as you needed?

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* 8. Wait time includes time spent in the waiting room and exam room. In the last 12 months, how often did you see Dr. Ratzman or a staff member within 15 minutes of your appointment time?

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* 9. During your most recent visit, did Dr. Ratzman seem to know the important information about your medical history?

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* 10. During your most recent visit did Dr. Ratzman show respect for what you had to say?

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* 11. During your most recent visit, did Dr. Ratzman listen carefully to you and give you easy to understand information about your health questions or concerns?

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* 12. During your most recent visit, did Dr. Ratzman spend enough time with you?

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* 13. In the last 12 months, did Dr. Ratzman order any kind of test for you?

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* 14. Did you receive those test results on the phone or in the office?

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* 15. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Dr. Ratzman?

  10 Best provider possible 9 8 7 6 5 4 3 2 1 0 Worst provider possible
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* 16. During your most recent visit, were the nurses as helpful and respectful at Dr. Ratzman's office as you thought they should be?

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* 17. During your most recent visit, was the front office staff at Dr. Ratzman's office as helpful and respectful as you thought they should be?

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* 18. Is the Billing department at Dr. Ratzman's office as helpful and respectful as you think it should be?

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* 19. What is your age?

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* 20. Would you recommend Dr. Ratzman your family and friends?

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