Patient Satisfaction Survey * 1. I had an appointment with: Brij Dewan, MD Aijaz Turk, MD Kevin Beyer, DO Tarun Sharma, MD Silviu Locovei, MD, PhD Shawn Skinner, PAC Maura Sullivan, PAC Amy Ball, PAC Ryan Anderson, PAC Other * 2. Ability to get through to the office by phone. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 3. The time between your call to schedule an appointment and your appointment date. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 4. The manners of the person(s) who scheduled your appointment. Very Disssatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Disssatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 5. Clarity of directions to the office and instructions for date and time of your appointment. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 6. The professionalism and helpfulness of our check-in staff. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 7. Your wait time in the lobby. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 8. The comfort and cleanliness of the reception area. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 9. Your wait time in the exam room. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 10. The comfort and cleanliness of the clinical area. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 11. The extent to which staff respected your privacy. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 12. Your physician's or physician assistant's listening skills. Very Dissatisfied Somewhat Dissatisfied Neither Dissatisfied nor Satisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Dissatisfied nor Satisfied Somewhat Satisfied Very Satisfied N/A * 13. His/her explanation of procedures, diagnoses or treatment regimen. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 14. His/her personal manner (respect, sensitivity, friendliness). Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatified Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatified Somewhat Satisfied Very Satisfied N/A * 15. The preparedness of the staff and physician or physician assistant for your visit. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 16. My physician or physician assistant spent adequate time with me. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 17. I clearly understand the next steps in my plan of care. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 18. The educational information I received was helpful. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 19. I would return to see this physician or physician assistant for further care. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 20. Other staff's personal manner (courtesy, respect, sensitivity, friendliness). Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 21. The service/care provided was valuable to improving my health. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 22. I received test results in a timely manner following my office visit or procedure. Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A Very Dissatisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied N/A * 23. I would recommend this practice to family and friends. Yes No * 24. Did a certain staff member go above and beyond for you today? Yes No * 25. If so, please share your story. * 26. Any additional comments/concerns that you would like to share with us? Done