New Patient Satisfaction Survey (created 11/1/24)
Maitree Family Medicine
Please help Dr. Mones and his assistant improve by giving us feedback. This survey will be requested about every 6 months so we can respond better to your needs.
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1.
How satisfied are you with the overall care you receive at Dr. Mones' practice?
(Required.)
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
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2.
How would you rate the friendliness and professionalism at the front desk?
(Required.)
Excellent
Good
Average
Below average
Poor
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3.
How satisfied are you with the assistance provided by Jen at our office?
(Required.)
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
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4.
How would you rate our phone system and voicemail?
(Required.)
Excellent
Very good
average
worse than average
terrible/disappointing
5.
How accessible in general do you find our office?
Extremely Accessible
Very accessible
fairly accessible
below average accessibility
Not accessible at all
6.
How accessible is Dr. Mones?
Extremely Accessible
Very accessible
fairly accessible
below average accessibility
Not accessible at all
7.
How would you rate the communication skills of Dr. Mones?
Excellent
Good
Average
Below average
Poor
8.
How well did Dr. Mones explain your diagnosis and treatment options?
Extremely well
Very well
Moderately well
Slightly well
Not at all
9.
Do you have any suggestions for what can be improved?
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10.
When was your last visit at the practice?
(Required.)
very recently (less than 1 month)
1-6 months ago
More than 6 months ago
so long ago I can't remember. (Hmmm, I now realize I need to see my Doctor!)