Patient Satisfaction Survey

Patient Satisfaction Survey

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1. How satisfied are you with....?:*

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The ease of making medical appointments
The availability of same-day/sick visit appointments
The time it takes someone from our office to respond when you call the office with an urgent problem
Waiting time in our office
Ease in obtaining follow-up information and care (test results, medicines, care instructions)
Overall medical care at our clinic
Our office’s appearance
The way we partner with you about improving your health
The way your medical care provider involves other providers and caregivers in your care when needed

2. How caring would you say the following staff members are?:*

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Our providers (physicians, mid-levels, etc.)?
Our medical staff (medical assistants, nurses, etc.)
Our front office staff

3. Would you recommend Arroyo Vista Family Medicine to your family or friends?*

YesNoUndecided
At Arroyo Vista Family Medicine, we strive to continuously grow and improve ourselves in an effort to improve quality of care and the overall patient experience. Please take a moment to give us specific feedback in areas we could grow in. Your feedback is greatly appreciated!
OPTIONAL - IF you would like for us to get back to you regarding your answers on this survey, please provide us with your contact information below:
How would you rate Arroyo Vista Family Medicine?*
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