Patient Survey

Your feedback is important to us. We appreciate your time in answering the following questions so we can continue to provide the best care possible. We appreciate your honest feedback.

Please rate each item on a scale of 1 to 5, with 1 = poor and 5 = excellent.

Appointments:
My appointment was scheduled within a reasonable amount of time.
The appointment secretary was helpful, professional and pleasant.
Our Staff:
How would you rate the courtesy, enthusiasm and understanding of our receptionist staff?
How helpful, informative and encouraging was our nursing staff?
Did the physician spend adequate amounts of time with you, answer all your questions to your satisfaction, and take a real interest in you as a person?
How helpful were the people in our business office?
Care and professionalism of our x-ray staff?
Care and professionalism of our laboratory staff?
Technical knowledge, ability and competence of the Physician Assistant?
How satisfied were you with the length of your waits for your appointments?
Our Communication
Phone calls answered promptly
Explanation of your medical problem
Information about drugs prescribed
Information about self-care at home
Our Facility
Hours of Operation
Overall Comfort
Adequate parking
Signage and directions easy to follow
Cleanliness

Name of Physician Seen?
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If so, please leave your name, phone number and e-mail address below.
Name:
Phone Number
E-mail Address*
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Patient Survey

Appointments:

Our Staff:

Our Communication

Our Facility

Comments