2021 Post-Visit Patient Satisfaction Survey Eugene Rheumatology Question Title * 1. Overall, how satisfied or dissatisfied were you with your last visit to our office? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 2. 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 OK Question Title * 3. How would you rate the professionalism of our staff? Excellent Very good Good Fair Poor OK Question Title * 4. Did your appointment with your provider start early, late or on time? Very early Somewhat early On time Somewhat late Very late OK Question Title * 5. Overall, how would you rate the care you received from your provider? Excellent Very good Good Fair Poor OK Question Title * 6. How well did your provider listen to your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 7. How well did your provider answer your questions? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 8. Overall, how satisfied or dissatisfied are you with our billing office? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 9. How likely is it that you would recommend your provider to a friend or family member? 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 DONE