* 1. When you scheduled your appointment with us, was the scheduler friendly and helpful?

* 2. What office were you seen at last?

* 3. Was the receptionist friendly and helpful?

* 4. How long did you wait to be taken into an exam room?

* 5. If you waited more than 15 minutes, were you informed that there would be a delay?

* 6. Was the Medical Assistant/Nurse professional courteous and helpful?

* 7. Which provider did you see?

* 8. Was the Dermatologist, Nurse Practitioner or Physician Assistant attentive to your medical needs?

* 9. Was the check-out process quick and easy?

* 10. Was the check-out person friendly and helpful?

* 11. Would you recommend Adult & Pediatric Dermatology, PC to a family member or friend?

* 12. How did you hear about us?

* 13. If anyone contacted you from our office about a referral, authorization, or insurance eligibility; was that person helpful and friendly?

* 14. If you have spoken with an employee in our Billing Department, was that person helpful and friendly?

* 15. Dear Valued Patient,

Our providers and staff at APDerm® strive to make each visit exceptional. We appreciate all positive feedback however, if you were not satisfied with the care received, we would love the opportunity to call you and discuss what happened. We need your feedback to help improve future visits. We appreciate you selecting APDerm® for your dermatologic care. Thank you for taking the time to fill out this survey; our management team reviews every response. If you would like to provide us with any additional comments, please type them below.  In addition, if you would like to speak with someone about your experience, please call Krystyna Prokopiuk, Director of Patient Care Services at (978) 849-7502.  Thank  you.

T