Patient Satisfaction Survey

  • Patient Satisfaction Survey

    We value the opinions of our patients and their families. Please take a few moments to complete this survey.
  • 1. Scheduling appointments is easy and I am able to schedule for a time that is convenient for me*
  • 2. Wait times after checking in are reasonable and I am informed of any delays*
  • 3. Front desk staff is courteous and helpful*
  • 4. Medical Assistants are patient*
  • 5. Medical Assistants are knowledgeable*
  • 6. Doctors are kind*
  • 7. Doctors are knowledgeable*
  • 8. Staff spends enough time with me during my visit*
  • 9. All my concerns were addressed during my visit*
  • 10. I was given clear instructions on what to do about my condition or health*
  • 11. My privacy was respected*
  • 12. My billing or claim concerns were handled in a courteous and helpful manner*
  • 13. Office is clean and well-maintained*
  • 14. Would you recommend our practice to a family member or friend?*
  • Would you like to be contacted by someone in our office?*

  • If you wish to remain anonymous, it is not required to provide your information.

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