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2026 Patient Satisfaction Survey

As we end one year and begin a new one, we would like for you to answer a few questions in regard to your last visit with us. Thank you for participating in our survey. Your feedback is important. This survey will take less than five minutes to complete.
1.What CAP site did you visit?(Required.)
Being able to receive Timely Appointments, Care and Information: Please choose the answer that best fits your experience.
2.Ease of making your appointment(Required.)
3.Appointment available within a reasonable amount of time(Required.)
4.Efficiency of the check-in process(Required.)
5.Waiting time in the reception area(Required.)
6.Waiting time in the exam room(Required.)
Helpful, Courteous and Respectful Staff: Please choose the answer that best fits your experience.
7.Friendliness of the receptionist upon your arrival(Required.)
8.Care and concern of our nurses/medical assistants(Required.)
9.Helpfulness of the staff who assisted you with billing or insurance questions(Required.)
Coordination of Patient Care: Please choose the answer that best fits your experience.
10.Your test results were reported in a reasonable amount of time(Required.)
11.Relevance of our educational materials(Required.)
12.Your ability to contact us after hours(Required.)
Provider Communication with Patients: Please choose the answer that best fits your experience.
13.Time taken to listen and answer your questions(Required.)
14.Things explained in a way you could understand(Required.)
15.Instructions given regarding medication/follow-up care(Required.)
Overall Practice Information: Please choose the answer that best fits your experience.
16.Convenient hours of operation(Required.)
17.Parking(Required.)
18.Easy to follow signage and directions(Required.)
19.Overall Comfort(Required.)
20.Our Practice(Required.)
21.Quality of our medical care(Required.)
22.How Likely are you to recommend our practice and providers to your friends and family?(Required.)
23.Please share any other comments or feedback you have about your visit or the physician that provided the care.