Survey

 

Thank you for completing our survey!

We appreciate your feedback. 

 

1. The appointment process was satisfactory.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

2. The check-in/out process was a pleasant experience.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

3. I was seen within 10 minutes of my scheduled appointment.

YesNo

4. My Doctor spent adequate time with me.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

5. My Doctor was sensitive to my needs and listened to what I said.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

6. I have confidence and trust in the Doctor who treated me.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

7. My Doctor clearly communicated the diagnosis and plan.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

8. My Doctor was courteous.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

9. The staff was professional in every way.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

10. The appearance and neatness of the practice was excellent.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

11. Overall, my experience was excellent.

Strongly AgreeAgreeNeither Agree nor DisagreeStrongly DisagreeN/A

12. Please share one thing you would have us change to improve your experience.

13. Please share the best thing about your visit.

14. Please name a staff member who was especially helpful.

15. Please share any additional comments. If you would like someone to contact you to discuss your feedback please include your contact information.