Skip to content
Sunshine Coast Patient Feedback Survey
*
1.
Which Doctor did you see
(Required.)
Dr Michael Bryant
*
2.
Was your appointment 'face-to-face' or over Skype/phone?
(Required.)
Face-to-Face
Skype/Phone
*
3.
Which site did you visit?
(Required.)
Birtinya - Pulse Oceanside Medical
Noosa
Buderim
*
4.
Was this your first visit?
(Required.)
Yes
No
How would you rate the following?
*
5.
Ease in getting through to us by phone
(Required.)
Excellent
Very good
Good
Fair
Poor
Does not apply
*
6.
Courtesy of staff taking your call
(Required.)
Excellent
Very Good
Good
Fair
Poor
Does Not Apply
*
7.
Was there a long wait between making your appointment and when you could see the doctor?
(Required.)
1 - 2 weeks
2 - 4 weeks
4 - 6 weeks
6 - 8 weeks
More than 8 weeks
Does Not Apply
*
8.
The waiting room and amenities were clean and presented well.
(Required.)
Excellent
Very Good
Good
Fair
Poor
Does Not Apply
*
9.
How long did you have to wait to see the doctor?
(Required.)
Less than 15 mins
15-30 mins
30-45 mins
45-60 mins
More than 1 hour
Does not apply
*
10.
Doctor's personal manner (courtesy, respect, sensitivity).
(Required.)
Excellent
Very Good
Good
Fair
Poor
Does Not Apply
11.
Doctor's instruction regarding care and treatment.
Excellent
Very Good
Good
Fair
Poor
Does Not Apply
*
12.
Enough time and comfort to ask questions.
(Required.)
Excellent
Very Good
Good
Fair
Poor
Does Not Apply
*
13.
Likelihood that you would recommend us to a friend or relative.
(Required.)
Likely
Unlikely
*
14.
How did you hear about us?
(Required.)
General Practitioner/Specialist referral
Friend/Family
Allied health (physiotherapist etc)
Word of mouth
Other
Please specify
*
15.
Did you visit our website to gain further information?
(Required.)
Yes
No
16.
If yes, before or after consultation?
Before
After
17.
From time to time we contact our patients to discuss their experience with us. Do you mind if we contact you?
Yes, please contact me
No, please don't contact me
*
18.
Which category below includes your age?
(Required.)
17 or younger
18-25
26-35
36-45
46-55
56-65
66 or older
19.
Any comments?
20.
Please enter your email if you would like to be added to our mailing list.