Customer Satisfaction Website A Healthier Future For The People Of Florida Question Title * 1. Was this your first visit to our office? Yes No Question Title * 2. Which location did you receive services? Port Charlotte Murdock Other (please specify) Question Title * 3. Our Appearance Exceeded Expectations Met Expectations Below Expectations Not Applicable Staff Appearance Staff Appearance Exceeded Expectations Staff Appearance Met Expectations Staff Appearance Below Expectations Staff Appearance Not Applicable Reception Area Reception Area Exceeded Expectations Reception Area Met Expectations Reception Area Below Expectations Reception Area Not Applicable Cleanliness Cleanliness Exceeded Expectations Cleanliness Met Expectations Cleanliness Below Expectations Cleanliness Not Applicable Restrooms Restrooms Exceeded Expectations Restrooms Met Expectations Restrooms Below Expectations Restrooms Not Applicable Our Overall Appearance Our Overall Appearance Exceeded Expectations Our Overall Appearance Met Expectations Our Overall Appearance Below Expectations Our Overall Appearance Not Applicable Question Title * 4. Our Staff Exceeded Expectations Met Expectations Below Expectations Not Applicable Courteous on the Telephone Courteous on the Telephone Exceeded Expectations Courteous on the Telephone Met Expectations Courteous on the Telephone Below Expectations Courteous on the Telephone Not Applicable Friendly Upon Arrival Friendly Upon Arrival Exceeded Expectations Friendly Upon Arrival Met Expectations Friendly Upon Arrival Below Expectations Friendly Upon Arrival Not Applicable Promptly Recognized Your Arrival Promptly Recognized Your Arrival Exceeded Expectations Promptly Recognized Your Arrival Met Expectations Promptly Recognized Your Arrival Below Expectations Promptly Recognized Your Arrival Not Applicable Courteous During Your Service Courteous During Your Service Exceeded Expectations Courteous During Your Service Met Expectations Courteous During Your Service Below Expectations Courteous During Your Service Not Applicable Our Attitudes Our Attitudes Exceeded Expectations Our Attitudes Met Expectations Our Attitudes Below Expectations Our Attitudes Not Applicable Our Overall Performance Our Overall Performance Exceeded Expectations Our Overall Performance Met Expectations Our Overall Performance Below Expectations Our Overall Performance Not Applicable Question Title * 5. Our Office Exceeded Expectations Met Expectations Below Expectations Not Applicable Prompt Answering Telephone Prompt Answering Telephone Exceeded Expectations Prompt Answering Telephone Met Expectations Prompt Answering Telephone Below Expectations Prompt Answering Telephone Not Applicable Delivered Prompt Service Delivered Prompt Service Exceeded Expectations Delivered Prompt Service Met Expectations Delivered Prompt Service Below Expectations Delivered Prompt Service Not Applicable Service/Care You Received Service/Care You Received Exceeded Expectations Service/Care You Received Met Expectations Service/Care You Received Below Expectations Service/Care You Received Not Applicable Provided Clear Explanations Provided Clear Explanations Exceeded Expectations Provided Clear Explanations Met Expectations Provided Clear Explanations Below Expectations Provided Clear Explanations Not Applicable Our Attitudes Our Attitudes Exceeded Expectations Our Attitudes Met Expectations Our Attitudes Below Expectations Our Attitudes Not Applicable Our Overall Efficiency Our Overall Efficiency Exceeded Expectations Our Overall Efficiency Met Expectations Our Overall Efficiency Below Expectations Our Overall Efficiency Not Applicable Question Title * 6. Our Service Exceeded Expectations Met Expectations Below Expectations Not Applicable Clinic Front Desk / Reception Clinic Front Desk / Reception Exceeded Expectations Clinic Front Desk / Reception Met Expectations Clinic Front Desk / Reception Below Expectations Clinic Front Desk / Reception Not Applicable WIC Reception WIC Reception Exceeded Expectations WIC Reception Met Expectations WIC Reception Below Expectations WIC Reception Not Applicable Health Technician Health Technician Exceeded Expectations Health Technician Met Expectations Health Technician Below Expectations Health Technician Not Applicable Dietician Dietician Exceeded Expectations Dietician Met Expectations Dietician Below Expectations Dietician Not Applicable Nurse Nurse Exceeded Expectations Nurse Met Expectations Nurse Below Expectations Nurse Not Applicable Physician / ARNP Physician / ARNP Exceeded Expectations Physician / ARNP Met Expectations Physician / ARNP Below Expectations Physician / ARNP Not Applicable Our Overall Service Our Overall Service Exceeded Expectations Our Overall Service Met Expectations Our Overall Service Below Expectations Our Overall Service Not Applicable Question Title * 7. Would you recommend our office to others? Yes No Other (please specify) Question Title * 8. Did anyone provide outstanding service? If so, whom? Done
