Patient Satisfaction Survey

In order to serve you better, please take a few moments to let us know how we are doing. Thank you.

1.
 Was your initial phone call handled promptly and efficiently?
2.
 Approximately how long did you wait before your call was handled?
3.
 Was your appointment scheduled to your satisfaction?
4.
 Were you greeted in a friendly, professional manner when you arrived in the office?
5.
 Did you find the appearance of our office acceptable?
6.
 Did the clinical office staff (medical assistants, x-ray technicians) conduct themselves in a professional manner?
7.
 Did your encounter with the physician meet your expectations?
8.
 Was your check-out procedure handled in a professional, efficient manner?
9.
 If a surgery or test was scheduled, was this handled in a professional, efficient manner?
10.
 Were you given accurate information regarding your test or surgery?
11.
 Would you refer a friend or family member to our practice?

Please offer any comments that may help us improve our service to you. If you would like to receive a phone call regarding your visit, please provide contact information.