Patient Experience and Satisfaction Survey For Dr Fuad Afzal

Question Title

* 1. How well did Dr Fuad Afzal explain your treatment options?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Question Title

* 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

Question Title

* 3. How well did Dr Fuad Afzal answer your questions?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Question Title

* 4. How well did Dr Fuad Afzal listen to your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Question Title

* 5. Is there anything we could have done to improve your last visit?

Question Title

* 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

Question Title

* 7. Overall, how would you rate the care you received from your provider?

Excellent

Very good

Good

Fair

Poor

Question Title

* 8. Overall, how would you rate the service you received from the staff at our office?

Excellent

Very good

Good

Fair

Poor

Question Title

* 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

Question Title

* 10. How many stars would you give Dr Fuad Afzal?

Poor

Fair but not Poor

Fair

Good

Excellent

Poor

Fair but not Poor

Fair

Good

Excellent