Patient Satisfaction Survey

Please take a few minutes to fill out this survey on the services you received from San Dimas Medical Group on your recent appointment. We welcome your feedback as this provides us an opportunity to improve our service an better meet your needs. Thank you in advance for your participation in this survey.

* 1. How would you rate your communication with our -

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
Front desk receptionist
Telephone appointment coordinator
Billing department staff
Advise nurses
Medical assistants

* 2. How would rate the efficiency of our -

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
Front desk receptionist
Telephone appointment coordinator
Billing department staff
Advise nurses
Medical assistants

* 3. How would you rate your ability to make an appointment with us -

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
Available within a reason amount of time
Scheduled at a convenient time of day
Completed in a timely manner
Availability of your preferred provider
The courtesy of the person who took your call

* 4. During you appointment with your Doctor of Nurse Practitioner did you feel -

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
The provider listened and your questions were answered
The thoroughness of your examination
The quality of time spent with you
Explained things in a way you could understand
Provided instructions regarding medications and/or follow-up care

* 5. How would you rate our communications before and after your appointment?

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
Your phone calls were answered promply
The efficiency of the check-in process
The wait time in the waiting room
The wait time in the exam room
Keeping you informed if your appointment time was delayed
Getting advice or help when needed during office hours
Explanation of your procedure ( if applicable)
Your test results reported back to you in a reasonable time
Effectiveness of our health information materials
Our ability to return your calls in a timely manner
Your ability to contact us after hours for urgent concerns
Your ability to obtain prescription refills by phone or online

* 6. How would you rate our facility?

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
Hours of operation are convenient
Overall comfort of office
Adequate parking
Signage and directions easy to follow

* 7. What is your overall rating of San Dimas Medical Group?

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Not Applicable
Our practice
Quality of your medical care

* 8. Would recommend San Dimas Medical Group to others?

* 9. What other services would you like to see San Dimas Medical Group Provide?

* 10. Are you an aware of our online services?

  Yes No
Website
Facebook Page
Patient Portal

* 11. Please let us know how we can improve our services and quality of care to you.

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