Physician Office Survey
PLEASE COMPLETE AFTER YOUR APPOINTMENT
Please help us care for you by providing feedback about your experience with our office and staff. This feedback helps us continually monitor or change our systems to serve you better.
Ease in getting through to us by phone
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Courtesy of staff taking your call
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Time between making appointment and visit date
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Convenience of office hours
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| Ease in seeing the doctor of your choice |
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Was our receptionist courteous and helpful? |
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| Was the nurse courteous and helpful? |
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Amount of time doctor spent with you
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Doctor’s explanation of what was done for you
(ie: tests, diagnosis, treatment) |
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Doctor’s personal manner (courtesy, respect, sensitivity)
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Doctor’s instructions regarding medications & follow-up
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Overall quality of care you received
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Were you given enough privacy
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Enough time and comfort to ask questions
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Was our check out person courteous and helpful?
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Likelihood that you would recommend us to a friend or relative
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How easy is our site to navigate? |
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How useful is the
information on the site? |
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How can we improve the site? |
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What would you like
us to add to the site? |
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Any other comments or suggestions you might have to help us improve our service would be appreciated! |
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Thank you for taking the time to assist us with these questions. |
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