Patient Satisfaction Survey Please rate how satisfied you are with the following: Question Title * 1. Please select your clinic location AccuRx Infusion Center Birmingham AIC Valleydale AccuRx Infusion Center Daphne AccuRx Infusion Center Dothan AccuRx Infusion Center Huntsville AccuRx Infusion Center Montgomery Palmetto Infusion Services Aiken Palmetto Infusion Services Anderson Palmetto Infusion Services Asheville Palmetto Infusion Services Beaufort Palmetto Infusion Services Charlotte Palmetto Infusion Services Columbia Palmetto Infusion Services Concord Palmetto Infusion Services Duluth Palmetto Infusion Services East Columbia Palmetto Infusion Services Eastern North Carolina Palmetto Infusion Services Evans Palmetto Infusion Services Fayetteville Palmetto Infusion Services Florence Palmetto Infusion Services Greensboro Palmetto Infusion Services Greenville Palmetto Infusion Services Hickory Palmetto Infusion Services Holly Springs Palmetto Infusion Services Jacksonville OrangePark Palmetto Infusion Services Jacksonville St. Johns Palmetto Infusion Services Lawrenceville Palmetto Infusion Services Lugoff Palmetto Infusion Services Midlothian Palmetto Infusion Services Mt. Pleasant Palmetto Infusion Services Myrtle Beach Palmetto Infusion Services Okatie Palmetto Infusion Services Panama City Palmetto Infusion Services Pawley's Island Palmetto Infusion Services Raleigh Palmetto Infusion Services Rock Hill Palmetto Infusion Services Savannah Palmetto Infusion Services Spartanburg Palmetto Infusion Services Stockbridge Palmetto Infusion Services Summerville Palmetto Infusion Services Sumter Palmetto Infusion Services Supply Palmetto Infusion Services West Ashley Palmetto Infusion Services Winston-Salem Question Title * 2. Communication by staff was professional and courteous Very Satisfied Somewhat Satisfied Neither Satisfied or Dissatisfied Somewhat Dissatisfied Very Dissatisfied Question Title * 3. The treatment area and restrooms were clean and neat Very Satisfied Somewhat Satisfied Neither Satisfied or Dissatisfied Somewhat Dissatisfied Very Dissatisfied Question Title * 4. If needed, how likely would you be to use Palmetto Infusion Services in the future? Very Likely Somewhat Likely Neither Likely or Unlikely Somewhat Unlikely Very Unlikely Question Title * 5. How likely would you be to recommend Palmetto Infusion Services to Friends and Family? Very Likely Somewhat Likely Neither Likely or Unlikely Somewhat Unlikely Very Unlikely Question Title * 6. How satisfied are you with our overall performance Very Satisfied Somewhat Satisfied Neither Satisfied or Dissatisfied Somewhat Dissatisfied Very Dissatisfied Question Title * 7. What can we do to improve our services? Question Title * 8. Do you want someone from Palmetto Infusion to contact you regarding your survey or experience? Yes No Next
