* 1. How would you rate your appointment?

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Ease of making appointment
Appointment made within reasonable amount of time
Efficiency/Ease of check in
Waiting time in reception area
Waiting time in exam room
Keeping you informed if your appointment was delayed

* 2. How would you rate our support staff?

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Courtesy of person whom took your call
Friendliness and courtesy of the front desk staff
Care/concern of our nurses/medical assistant
Customer service you received from support staff

* 3. How would you rate our communication with you?

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Your test/lab results reported in a reasonable amount of time 
Our ability to return your calls in a timely manner
Your ability to contact us after hours
Your ability to obtain prescription refills

* 4. How would you rate your visit from our providers?

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Willingness to listen carefully to you
Taking time to answer questions
Explaining things in a way you could understand
Thoroughness of the examination
Advice given to you on ways to stay healthy

* 5. How would you rate our practice?

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Convenient hours of operation
Cleanliness and general appearance of the office
Overall satisfaction
Our practice
Quality of your medical care

* 7. Overall, how would you rate each of our providers?

  Very Satisfied Somewhat Satisfied Neutral-Neither Satisfied or Dissatisfied Somewhat Dissatisfied Very Dissatisfied N/A-I have never seen this provider
Cheryl Perkins, MD
P. Austin Whitlock, III, MD
Michelle Zeanah, MD
Kirsten Coulter, CPNP
Jessica French, CPNP
Kathryn Marucco, CPNP

* 8. Would you recommend our practice to others?

* 9. In what ways can we improve our practice?

* 10. Can we contact you regarding the information you provided?

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