Your Experience With Our Staff

We want to be sure that how we relate to you reflects our commitment to providing The Care You Deserve.

Question Title

* 1. When was your appointment?

Appointment:

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* 2. Did you feel like you and your health are important to us?

  Extremely important Very important Moderately important Slightly important Not at all important
On the Phone
At Check In
In the Exam Room
During the Exam
At Check Out
In Followup

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* 3. Were we prompt in meeting your needs?

  Extremely Fast Fast Acceptable Slow Took forever
On the Phone
At Check In
In the Exam Room
During the Exam
At Check Out
In Followup

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* 4. How well did we listen to you?

  Extremely well Very well Moderately well Slightly well Not at all well
On the Phone
At Check In
In the Exam Room
During the Exam
At Check Out
In Followup

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* 5. Were we knowledgeable about you and your health?

  Extremely knowledgeable Very knowledgeable Moderately knowledgeable Slightly knowledgeable Not at all knowledgeable
On the Phone
At Check In
In the Exam Room
During the Exam
At Check Out
In Followup

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* 6. Was your experience with our office better than you expected it to be, worse than you expected it to be, or about what you expected it to be?

  Much better Somewhat better Slightly better About what was expected Slightly worse Somewhat worse Much worse
On the Phone
At Check In
In the Exam Room
During the Exam
At Check Out
In Followup

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* 7. Which clinical person did you have the BEST experience with?

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* 8. Which clinical person did you have the WORST experience with?

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