Patient Survey


Which Provider treated you during your visit?
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How would you rate your experience on the phone,was the receptionist polite and did he/she wait for your response before placing you on hold?
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How would you rate the staff’s ability to communicate and keep you informed of any current delays?
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How would you rate the way your financial obligations were discussed with you, were they discussed quietly and/or privately?
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If it was necessary to communicate with our billing personnel:How would you rate the way you were treated, were they courteous, friendly and did they explain all answers to your satisfaction?
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How would you rate the clinical staff (nurses, ortho techs, and x-ray tech), were they pleasant and courteous, did they introduce themselves?
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How would you rate the clinical staff’s knowledge and skills, were you confident in their abilities?
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How would you rate the way in which your needs or concerns were discussed with our clinical staff, were they discussed with sensitivity and in a confidential manner?
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How would you rate your provider, did you feel your provider was sympathetic and/or interested in addressing your healthcare needs?
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How would you rate the way your provider listened to and answered your questions, was it in a way that you understood?
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How would you rate the amount of time and attention your provider gave you during your exam/procedure, was it adequate?
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How would you rate the amount & quality of the follow-up instructions & educational materials given to you by your provider?
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If you received a prescription and it was sent to your pharmacy electronically, how would you rate the process? (was it successful)
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How would you rate the information our clinical staff gave you with regards to any test results, were you informed when & how you should expect to receive them?
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How would you rate the staff’s ability to communicate and keep you informed of any current delays?
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How would you rate the amount of time you spent in the Waiting Room?
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How would you rate the amount of time you spent in the Exam Room?
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Were you seen by the doctor in a reasonable amount of time?
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How would you rate your overall visit?
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Please comment on how we can make your visit better.