Patient Satisfaction Survey

Question Title

* 1. Which Alliance Cancer Specialists office do you primarily go to?

Jefferson Torresdale Cancer Center: 3998 Red Lion Road, Suite 130 Philadelphia, PA 19114

Brinton Lake Cancer Center: 500 Evergreen Drive, Glen Mills, PA 19342

Crozer-Chester Medical Center: 30 Medical Center Boulevard, Suite 206, Upland, PA 19013

The Cancer Institute at Doylestown Hospital: 599 West State Street, Suite 312, Doylestown, PA 18901

Grand View Hospital Outpatient Center: 915 Lawn Avenue, Suite 202 Sellersville, PA 18960

Highpoint Cancer Center: 700 Horizon Circle, Suite 106, Chalfont, PA 18914

Jefferson Bucks Hospital: 380 North Oxford Valley Road, Ground Floor, Langhorne, PA 19047

The Parker Building: 33 Chester Pike Ridley Park, PA 19076

Cancer Center at Riddle Memorial Hospital: 1078 W. Baltimore Pike, Suite 1, Media, PA 19063

St. Mary Health Feasterville: 178 West Street Road Feasterville, PA 19053

St. Clare Medical Building: 1203 Langhorne Newtown Road, Suite 135, Langhorne, PA 19047

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* 2. How attentive, caring and understanding do you feel our staff and physicians are?

Extremely

Very

Somewhat

Not very

Not at all

Comments:

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* 3. How friendly was the receptionist when you arrived at our office?

Extremely friendly

Very friendly

Somewhat friendly

Not so friendly

Not at all friendly

Comments:

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* 4. How easy or difficult was it to call the office?

Very easy

Easy

Neither easy nor difficult

Difficult

Very difficult

Comments:

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* 5. When you last contacted the office by phone, were you treated courteously by the staff?

Yes

Comments:

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* 6. Overall, how would you rate the service you received from the staff at our office?

Excellent

Very good

Good

Fair

Poor

Comments:

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* 7. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

Very easy

Somewhat easy

Neither easy nor difficult

Somewhat difficult

Very difficult

Comments:

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* 8. Typically, how long do you wait when you come in for an appointment?

Extremely long

Very long

Somewhat long

Not so long

Not at all long

Comments:

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* 9. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?

	10 Best provider possible	9	8	7	6	5	4	3	2	1	0 Worst provider possible
.	. 10 Best provider possible	. 9	. 8	. 7	. 6	. 5	. 4	. 3	. 2	. 1	. 0 Worst provider possible

Comments:

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* 10. How likely is it that you would recommend your doctor to a friend or family member?

NOT AT ALL LIKELY

EXTREMELY LIKELY

Patient Satisfaction Survey

Question Title

* 1. Which Alliance Cancer Specialists office do you primarily go to?

Question Title

* 2. How attentive, caring and understanding do you feel our staff and physicians are?

Question Title

* 3. How friendly was the receptionist when you arrived at our office?

Question Title

* 4. How easy or difficult was it to call the office?

Question Title

* 5. When you last contacted the office by phone, were you treated courteously by the staff?

Question Title

* 6. Overall, how would you rate the service you received from the staff at our office?

Question Title

* 7. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

Question Title

* 8. Typically, how long do you wait when you come in for an appointment?

Question Title

* 9. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?

Question Title

* 10. How likely is it that you would recommend your doctor to a friend or family member?

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* 11. If there is any way we can improve our services to you, please tell us about it: