* 1. Which provider did you most recently see during your office visit?

* 2. When arriving to my appointment, the receptionist at the front desk during check-in was helpful and courteous.

* 3. How long did you spend in the waiting area before going back to an exam room to see your physician?

* 4. The medical assistant or xray technician assisting the physician was helpful and courteous.

* 5. During my visit, I felt like my physician was professional, listened to my concerns, explained and answered my questions adequately.

* 6. During the checkout process, I was able to make a convenient/timely appointment for my follow-up care.

* 7. During the checkout process, I received everything I needed from my appointment (i.e. prescription, physical therapy order, diagnostic testing order, work/school note, exercises, surgery instructions, etc...) if applicable.

* 8. How satisfied were you with the cleanliness of the facility?

* 9. How satisfied were you with the overall rating of care you received during your visit at Elizabethtown Orthopedics?

* 10. How likely are you to recommend Elizabethtown Orthopedics to your family or friends?

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