Thank you for your feedback!

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* 1. Which provider did you see at your last appointment? If you are unsure, please choose your primary care physician.

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* 2. When you made an appointment for a check-up or routine care with your doctor, how often did you get an appointment as soon as you thought you needed it?

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* 3. When calling in for an appointment, how would you rate the phone receptionist for being courteous and attentive to your needs?

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* 4. When checking in at the front desk, how would you rate the front desk receptionist for being courteous and attentive to your needs?

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* 5. When calling in with a question for a nurse, how would you rate the service you received from the RN staff?

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* 6. Please rate your experience with the nurse or medical assistant assisting the physician or PA.

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* 7. How satisfied or dissatisfied were you with the thoroughness of the provider when answering your questions or concerns?

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* 8. Overall, how would you rate our office as a whole?

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* 9. How likely is it that you would recommend your provider to a friend or family member?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 10. What is one thing you would like to see from LPG in the coming months? (Examples: Online Forms, more engaging Facebook posts etc)

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* 11. What could we do to improve your experience in the office?

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* 12. If you would like a manager to call you regarding your survey answers, please leave your contact information below.

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