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Sarasota Vascular Specialist Customer Survey
Patient Engagement
1.
Did you recently receive care from one of our surgeons?
Yes
No
2.
Is your surgeon, the provider you usually see if you need an annual check up for any vascular work you received?
Yes
No
3.
How long have you been going to your surgeon?
Less than 6 months
At least 6 months but less than 1 year
At least 1 year but less than 3 years
At least 3 years but less than 5 years
5 years or more
4.
In the last 12 months, how many times did you visit your surgeon?
None
1 time
2
3
4
5 to 9
10 or more times
5.
In the last 12 months, did you phone your surgeon’s office to get an appointment for a condition that needed care right away?
Yes
No
6.
In the last 12 months, when you phoned your surgeon’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?
Never
Sometimes
Usually
Always
7.
In the last 12 months, did you make any appointments for a check-up or routine care with your surgeon?
Yes
No
8.
In the last 12 months, when you made an appointment for a check-up or routine care with your surgeon, how often did you get an appointment as soon as you needed?
Never
Sometimes
Usually
Always
9.
In the last 12 months, did you phone your surgeon’s office with a medical question during regular office hours?
Yes
No
10.
In the last 12 months, when you phoned your surgeons nurse during regular office hours, how often did you get an answer to your medical question that same day?
Never
Sometimes
Usually
Always
11.
In the last 12 months, did you phone your surgeon's nurse with a medical question after regular office hours?
Yes
No
12.
In the last 12 months, when you phoned your surgeon’s office after regular office hours, how often did you get an answer to your medical question as soon as you needed?
Never
Sometimes
Usually
Always
13.
Wait time includes time spent in the waiting room, ultrasound, and exam room. In the last 12 months, how often did you see your surgeon within 30 minutes of your appointment time?
Never
Sometimes
Usually
Always
14.
In the last 12 months, how often did your surgeon explain things in a way that was easy to understand?
Never
Sometimes
Usually
Always
15.
In the last 12 months, how often did your surgeon listen carefully to you?
Never
Sometimes
Usually
Always
16.
In the last 12 months, how often did your surgeon give you easy to understand information about these health questions or concerns?
Never
Sometimes
Usually
Always
17.
In the last 12 months, how often did your surgeon seem to know the important information about your medical history?
Never
Sometimes
Usually
Always
18.
In the last 12 months, how often did your surgeon show respect for what you had to say?
Never
Sometimes
Usually
Always
19.
In the last 12 months, how often did your surgeon spend enough time with you?
Never
Sometimes
Usually
Always
20.
In the last 12 months, did your surgeon order a blood test, x-ray, or other test for you?
Yes
No
21.
In the last 12 months, when your surgeon ordered a blood test, x-ray, or other test for you, how often did someone from this provider’s office follow up to give you those results?
Never
Sometimes
Usually
Always
22.
Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your surgeon?
10 Best provider possible
9
8
7
6
5
4
3
2
1
0 Worst provider possible
.
10 Best provider possible
9
8
7
6
5
4
3
2
1
0 Worst provider possible
23.
In the last 12 months, how often were receptionists at your surgeon's office as helpful as you thought they should be?
Never
Sometimes
Usually
Always
24.
In the last 12 months, how often did receptionists at your surgeon's office treat you with courtesy and respect?
Never
Sometimes
Usually
Always
25.
In general, how would you rate your overall health?
Excellent
Very good
Good
Fair
Poor
26.
What is your age?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
27.
Are you male or female?
Male
Female
28.
Which surgeon did you see today?
Dr. Dorsay
Dr. Hershberger
Dr. Lepore
Dr. Nair
Dr. Samson
Dr. Parrack
Dr. Wagner