Skip to content
UBMD Orthopaedics & Sports Medicine Patient Satisfaction Survey
As a patient of ours, your opinion is very important to us. Our team’s goal is to provide an exceptional experience for each patient. Your input will help us to continuously improve the quality of our patients’ health care.
1.
Physician Name
Robert Ablove, MD
Mark Anders, MD
David Bagnall, MD
Geoffrey Bernas, MD
Leslie Bisson, MD
Craig Blum, MD
Lindsey Clark, MD
James Czyrny, MD
Scott Darling, MD
Matthew DiPaola, MD
Jeremy Doak, MD
Thomas Duquin, MD
Evgeny Dyskin, MD
Michael Ferrick, MD
Marc Fineberg, MD
Michael Freitas, MD
Robert Galpin, MD
Jennifer Gurske-dePerio, MD
Christopher Hamill, MD
Rajiv Jain, MD
Joshua Jones, MD
Joseph Kowalski, MD
Joseph Kuechle, MD
John Leddy, MD
Kevin Lesh, MD
John Marzo, MD
Brian McGrath, MD
Christopher Mutty, MD
Matthew Phillips, MD
Sridhar Rachala, MD
Michael Rauh, MD
Christopher Ritter, MD
Bernhard Rohrbacher, MD
Mario Santilli, MD
Philip Stegemann, MD
Robert Smolinski, MD
Heidi Suffoletto, MD
William Wind, Jr., MD
Other or PA/PT/Nurse (please specify)
2.
Location
Amherst Health Center - 4949 Harlem Road, Amherst
ECMC - 462 Grider Street, Buffalo
BrookBridge - 5959 Big Tree Road, Orchard Park
Summit Healthplex - 6934 Williams Road, Niagara Falls
UB South Campus - 160 Farber Hall, Buffalo
Conventus - 1001 Main Street, Buffalo
4180 Abbott Road, Orchard Park
3673 Southwestern Blvd., Orchard Park
Other (please specify)
3.
How long have you been seeing this healthcare provider?
This was my first appointment
Less than 6 months
6-12 months
1-3 years
3-5 years
5+ years
4.
Using any number from 1-10, where 1 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?
1
1 star
2
2 stars
3
3 stars
4
4 stars
5
5 stars
6
6 stars
7
7 stars
8
8 stars
9
9 stars
10
10 stars
5.
During your most recent visit, did your healthcare provider give you easy to understand information about your questions or concerns?
Yes, Definitely
Yes, Somewhat
No
6.
Would you recommend your healthcare provider's office to your friends and family?
Yes, Definitely
Yes, Somewhat
No
7.
Please rate your experiences with the following. 0=Very Poor and 10=Excellent. Select “N/A” if not applicable.
0
1
2
3
4
5
6
7
8
9
10
N/A
Telephone Answering Service
0
1
2
3
4
5
6
7
8
9
10
N/A
Scheduling Your Appointment
0
1
2
3
4
5
6
7
8
9
10
N/A
Front Desk Reception Area
0
1
2
3
4
5
6
7
8
9
10
N/A
Physician's Staff
0
1
2
3
4
5
6
7
8
9
10
N/A
Imaging Services (x-ray and/or MRI)
0
1
2
3
4
5
6
7
8
9
10
N/A
Billing Department
0
1
2
3
4
5
6
7
8
9
10
N/A
8.
To leave a testimonial on our website, please leave comments here. Thank you!
9.
Where did you hear about UBMD Orthopaedics & Sports Medicine? Check all that apply.
Friend/Family
Primary Care Doctor/Pediatrician
Searching the Internet
Radio
Advertisement
Television
Sports Sponsorship
Community Event
Other (please specify)