Patient Survey 2017

* 1. Please select a Physician.

* 2. Please rate the receptionist in regards to helpfulness/ friendly?

* 3. Please rate the nursing assistant in regards to helpfulness/ friendly?

* 4. Please rate the nurse in regards to helpfulness/friendliness?

* 5. Please rate the scheduler in regards to helpfulness/friendliness?

* 6. Please rate the physician and nurse practioner? ( On a scale of 1-10, 10 being most positive)

* 7. Please rate the daytime phone calls. ( On a Scale 1-10, 10 being most positive)

* 8. Appointments (On a scale 1-10, 10 being most positive)

* 9. How comfortable was the lobby and waiting area?

* 10. Typically, how long do you wait when you come in for an appointment at your doctor?

* 11. How many miles is it from your home to our office?

* 12. Why did you choose this clinic?

* 13. Additional Comments

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