Patient Satisfaction Survey

Novus Feedback Questionnaire

Your Voice Matters: Share Honestly, Your Responses are Completely Anonymous
How satisfied are you with the booking process?

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2

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4

5

1 is Not Satisfied, 5 is Very Satisfied
How satisfied are you with check in and welcoming process?

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2

3

4

5

1 is Not Satisfied, 5 is Very Satisfied
Experience with support staff

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2

3

4

5

1 is Not Satisfied, 5 is Very Satisfied
Understanding of the office's billing practices

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4

5

1 is Not Satisfied, 5 is Very Satisfied
Care given by your provider

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2

3

4

5

1 is Not Satisfied, 5 is Very Satisfied
Wait time to start your appointment? (after scheduled appointment time)

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3

4

5

1 is Not Satisfied, 5 is Very Satisfied
By considering overall experience with our facility, how likely would you recommend to your friends/family?

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5

1 is Not Likely, 5 is Very Likely
If you did not feel a connection or have trust in your provider, would you be willing to see another provider in our practice?
Here you can leave any other comments or concerns. Thank you!
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Novus Feedback Questionnaire