Bedford Commons OB-GYN Phone Survey Question Title * 1. Overall, how satisfied or dissatisfied are you with your experience calling our office? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 2. Why were you calling our office? Select all that apply. Schedule an appointment Reschedule and/or cancel appointment Medical question/concern Refill request Billing question Other OK Question Title * 3. How well did we meet your needs when you called our office? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 4. How responsive were we to your questions or concerns when you called? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable OK Question Title * 5. Which of the following words would you use to describe the person who you spoke with? Select all that apply. Helpful Caring Informative/Knowledgeable Easy to talk to Impatient Disorganized Unable to help me Unsympathetic OK Question Title * 6. How long did you have to wait before speaking to someone on the phone? Less than 1 minute 1-3 mintues 4+ minutes I didn't get to speak to anyone. I left a voice message. Other OK Question Title * 7. How long have you been a patient of Bedford Commons OB-GYN? I am a new patient Less than six months Six months to a year 1 - 2 years 3 or more years OK Question Title * 8. How likely is it that you would recommend Bedford Commons OB-GYN to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 9. Do you have any other comments, questions, or concerns? OK DONE