North Shore Gastroenterology Associates, P.C.
Patient Satisfaction Survey

North Shore Gastroenterology Associates, PC is very interested in the opinions of our patients concerning the care received at our practice. Your feedback is very important to us and will be used to help us improve our service. We ask that you kindly take a moment to complete this survey, which is voluntary and confidential. Thank you.

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* 1. PHYSICIANS

  Howard Rattner, M.D. Arthur Talansky, M.D. Alan Sloyer, M.D. Mordecai Dicker, M.D. Chaim Abittan, M.D. David Milkes, M.D. Alex Novogrudsky, M.D.
The name of the physician you saw at your last visit was:

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* 2. AT YOUR LAST VISIT

  Strongly Agree Agree Partly Agree/Disagree Disagree Strongly Disagree
You are satisfied with the quality of care you received.
The physician answers your questions and concerns in a clear and understandable
manner.
The physician treats you in a respectful manner.
You completely trust the physician's judgment about your medical care.
If you had a procedure, the Anesthesiologist answered your questions and concerns in a clear and understandable manner.

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* 3. I would recommend North Shore Gastroenterology Associates to a friend or relative.

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* 4. What changes can we make to improve your experience at North Shore Gastro?

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* 5. We would appreciate your feedback regarding our Office Staff. Please let us know if there were any employees who were particularly helpful, or if there were any employees who did not meet your needs.

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* 6. TELEPHONE

  Strongly Agree Agree Partly Agree/Disagree Disagree Strongly Disagree
Your calls get through to the office on the first attempt.
Your calls are answered in a courteous and helpful manner.
Once your call is answered, your request is handled professionally.
If you call after hours, your call is returned in a timely manner.

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* 7. RECEPTION

  Strongly Agree Agree Partly Agree/Disagree Disagree Strongly Disagree
The receptionist who greets you as you walk in is helpful and friendly.
The length of time you wait in the waiting room is reasonable.
The person who escorts you to the exam room is courteous and helpful.
The length of time you wait in the exam room is reasonable.

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* 8. MEDICAL ASSISTANTS

  Strongly Agree Agree Partly Agree/Disagree Disagree Strongly Disagree
The medical assistants answer your questions and concerns in a clear and
understandable manner.
The medical assistants treat you in a caring, respectful manner.

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* 9. FACILITIES

  Strongly agree Agree Partly Agree/Disagree Disagree Strongly Disagree N/A
The waiting room is clean and comfortable.
The exam room is clean and comfortable.
The procedure rooms are clean and comfortable.
The bathrooms are clean and comfortable.
The office hours are convenient.

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* 10. BILLING

  Strongly Agree Agree Partly Agree/Disagree Disagree Strongly Disagree
The bills you receive are accurate.
The billing staff handles questions in a courteous and helpful manner.

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* 11. If you would like to provide a testimonial for North Shore Gastro, please do so in the box below and include ONLY your first name and last initial. By providing a testimonial, you are agreeing to allow us to use your testimonial on our website and/or other marketing material.

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* 12. Optional: If you were pleased with your visit at North Shore Gastro and would like to leave a review for your Doctor, please enter the requested information below, and we will email you the link and directions on how to do so.

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