* 1. Who is your provider?

* 2. What suggestions do you have to improve Family Physicians of Greeley?

* 3. What do you like most about Family Physicians of Greeley?

* 4. How do you rate the ease of scheduling an appointment?

* 5. How do you rate our reception staff?

* 6. How do you rate the wait time during your visits?

* 7. How do you rate the physical environment of our office?

* 8. How do you rate your doctor's medical assistant?

* 9. How do you rate your doctor, overall?

* 10. Please rate your doctor on the following:

  1 (Poor) 2 3 (Satisfactory) 4 5 (Excellent)
Spending the right amount of time with you
Making medical decisions in your best interest
Explaining your medical condition
Listening to you
Following-up after your visit
Helping you quickly when you need help

* 11. How likely are you to recommend Family Physicians of Greeley to family or friends?