Allergy and Sinus Conditions
Allergy and Sinus Conditions learn more
reconstructive facial surgery
reconstructive
facial surgery
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Sleep Disorders
Sleep Disorders
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Hearing Center
Hearing Center
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PATIENT SATISFACTION SURVEY

Thank you for taking time today to tell us what you think of our practice. With your input, our management team will be building a strategic plan to improve your overall patient experiences. Please select “A” for Excellent, “B” for Average, “C” for Could Improve, and “D” for Poor:

A B C D
Ease of getting through to the office on the phone?
Ease of getting an appointment?
Was a reminder call given on your phone or answering machine?
Waiting time
Communication between patient and staff?
Quality of health information materials provided?
Ability to get a call returned?
Getting test results in a timely manner?
Courtesy of reception?
Caring nurses and medical staff?
Business office helpful (manager, billing, collections)?
Do you feel the office staff takes necessary precautions in protecting your confidential information?
Did the office staff introduce themselves to you?
Were you informed properly about pending surgery and expectations before, during and after?
Did you feel the Dr. listened to your concerns?
Were the doctor’s explanations thorough?
Did the doctors take time to answer your questions?
Were you content with the amount of time the doctor spent with you?
Did you feel the office environment was clean and tidy?
Email:
Phone:
Office you visited today:
Would you like the Practice Manager to talk to you?
Additional Comments: