Exit to fpgreeley.com Patient Survey Question Title * 1. Who is your provider? Branum, Joanna Brogmus, Donna Brown, Cara Brown, Matt Clang, Daniel Clang, Tamara Haskins, R Scott Johnson, Kelly Kennedy, Christopher Lobitz, Paul Magnuson, Douglas Martinez, Matthew Maurer, Chad Morley, Erin Nightengale, Heidi Nwizu, Chima Nwizu, Nnenna Paczosa, Michelle Pflieger, Daniel Puls, Anna Ruff, Joy Samuelson, Scott Sisneros, Drake Waugh, Kyle Wilson, D Craig Young, Mark Question Title * 2. What suggestions do you have to improve Family Physicians of Greeley? Question Title * 3. What do you like most about Family Physicians of Greeley? Question Title * 4. How do you rate the ease of scheduling an appointment? 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Comments Question Title * 5. How do you rate our reception staff? 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Comments Question Title * 6. How do you rate the wait time during your visits? 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Comments Question Title * 7. How do you rate the physical environment of our office? 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Comments Question Title * 8. How do you rate your doctor's medical assistant? 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Comments Question Title * 9. How do you rate your doctor, overall? 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Comments Question Title * 10. Please rate your doctor on the following: 1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent) Spending the right amount of time with you Spending the right amount of time with you 1 (Poor) Spending the right amount of time with you 2 Spending the right amount of time with you 3 (Satisfactory) Spending the right amount of time with you 4 Spending the right amount of time with you 5 (Excellent) Making medical decisions in your best interest Making medical decisions in your best interest 1 (Poor) Making medical decisions in your best interest 2 Making medical decisions in your best interest 3 (Satisfactory) Making medical decisions in your best interest 4 Making medical decisions in your best interest 5 (Excellent) Explaining your medical condition Explaining your medical condition 1 (Poor) Explaining your medical condition 2 Explaining your medical condition 3 (Satisfactory) Explaining your medical condition 4 Explaining your medical condition 5 (Excellent) Listening to you Listening to you 1 (Poor) Listening to you 2 Listening to you 3 (Satisfactory) Listening to you 4 Listening to you 5 (Excellent) Following-up after your visit Following-up after your visit 1 (Poor) Following-up after your visit 2 Following-up after your visit 3 (Satisfactory) Following-up after your visit 4 Following-up after your visit 5 (Excellent) Helping you quickly when you need help Helping you quickly when you need help 1 (Poor) Helping you quickly when you need help 2 Helping you quickly when you need help 3 (Satisfactory) Helping you quickly when you need help 4 Helping you quickly when you need help 5 (Excellent) Comments Question Title * 11. How likely are you to recommend Family Physicians of Greeley to family or friends? Extremely likely Very likely Moderately likely Slightly likely Not at all likely Done
