Marias Healthcare Services, Inc Marias Healthcare appreciates your time in completing this survey. Your answers will be reviewed by both the management and Board of Directors. Your feedback is important to us as we strive to provide the best care possible. Question Title * 1. At which office were you seen? Shelby Dental Valier Sunburst Conrad Question Title * 2. Which Physician did you see? Dr. Haight Sonya Moss Hygienist Dr. Weishaar Dr. Gianarelli Dr. Hardy Dr. Lewis Dr. Ham Dr. Biccum, MD Joni Walton, FNP Tracy Richman, CNM Chris Rost, PAC Brooke Dager, PMHNP Dana Hellinger, LCPC Deb Treece, LCPC-E Tonya Carpenter, LAC-C Dr. Hooker, DPM Dr. Stewart Heidi Hunsucker, FNP Dr. DeHoop Dr. Taylor Dr. Mortenson Dr. Warr Dr. Martinez Dr. Miller Dr. Hoffman Dr. Sarji Other (please specify) Question Title * 3. Date of appointment? Question Title * 4. Was this your first visit to Marias Healthcare? Yes No Question Title * 5. How would you rate the following? Very Good Good Fair Poor Very Poor Convenience of office hours. Convenience of office hours. Very Good Convenience of office hours. Good Convenience of office hours. Fair Convenience of office hours. Poor Convenience of office hours. Very Poor Comfort of reception area. Comfort of reception area. Very Good Comfort of reception area. Good Comfort of reception area. Fair Comfort of reception area. Poor Comfort of reception area. Very Poor Comfort of exam rooms. Comfort of exam rooms. Very Good Comfort of exam rooms. Good Comfort of exam rooms. Fair Comfort of exam rooms. Poor Comfort of exam rooms. Very Poor Question Title * 6. How would you rate the confidentiality of: Very Good Good Fair Poor Very Poor N/A Receptionists Receptionists Very Good Receptionists Good Receptionists Fair Receptionists Poor Receptionists Very Poor Receptionists N/A Nurses/Clinical Staff Nurses/Clinical Staff Very Good Nurses/Clinical Staff Good Nurses/Clinical Staff Fair Nurses/Clinical Staff Poor Nurses/Clinical Staff Very Poor Nurses/Clinical Staff N/A Physicians Physicians Very Good Physicians Good Physicians Fair Physicians Poor Physicians Very Poor Physicians N/A Office Staff/Account Services Office Staff/Account Services Very Good Office Staff/Account Services Good Office Staff/Account Services Fair Office Staff/Account Services Poor Office Staff/Account Services Very Poor Office Staff/Account Services N/A Next