Patient Experience and Satisfaction Survey For Dr Fuad Afzal
1.
How well did Dr Fuad Afzal explain your treatment options?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
2.
How well did Dr Fuad Afzal explain your follow-up care?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
3.
How well did Dr Fuad Afzal answer your questions?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
4.
How well did Dr Fuad Afzal listen to your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
5.
Is there anything we could have done to improve your last visit?
6.
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
7.
Overall, how would you rate the care you received from your provider?
Excellent
Very good
Good
Fair
Poor
8.
Overall, how would you rate the service you received from the staff at our office?
Excellent
Very good
Good
Fair
Poor
9.
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
10.
How many stars would you give Dr Fuad Afzal?
Poor
1 star
Fair but not Poor
2 stars
Fair
3 stars
Good
4 stars
Excellent
5 stars
Current Progress,
0 of 10 answered