Patient Survey 2017

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* 1. Please select a Physician.

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

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

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

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

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

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

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

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

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

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

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* 12. Why did you choose this clinic?

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* 13. Additional Comments

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