Why did you choose New York Orthopaedics?
Answer
Whom did you see?
Answer
1. How would you rate your visit?
Choose one of the following answers
Excellent
Very Good
Average
Not so good
2. When your appointment was over did you have a good understanding of your situation?
Choose one of the following answers
Yes
Not really
I wish I knew more
3. Were your financial obligations explained
Choose one of the following answers
Yes
No
I already understand my financial obligations
4. Did you have to wait past your appointment time to be seen? If yes, how long?
Choose one of the following answers
No
15 to 30 minutes
30 to 45 minutes
Over 45 minutes
5. Please rate your satisfaction of our Front Desk Team’s Courtesy when you arrived
Choose one of the following answers
Very Satisfied
Satisfied
Unsatisfied
Very Unsatisfied
6. Please rate your satisfaction with Scheduling your first appointment
Choose one of the following answers
Very Satisfied
Satisfied
Unsatisfied
Very Unsatisfied
7. Please rate your satisfaction with our Clinical Team
Choose one of the following answers
Very Satisfied
Satisfied
Unsatisfied
Very Unsatisfied
NA
8. Please rate your satisfaction with our Surgical Scheduling Team
Choose one of the following answers
Very Satisfied
Satisfied
Unsatisfied
Very Unsatisfied
NA
9. Please rate your satisfaction with the Post Operative Care by our Team
Choose one of the following answers
Very Satisfied
Satisfied
Unsatisfied
Very Unsatisfied
NA
10. Were we able to provide Caring and Compassionate Service
Choose one of the following answers
Very Satisfied
Satisfied
Unsatisfied
Very Unsatisfied
11. Would you refer your friends or family to us?
Choose one of the following answers
Yes
No
I'm not sure
12. If you would not refer a friend or family member to us please let us know why or what we can do differently?
Answer
13. Please comment on your visit, things we could change, new services you would like to see.
Answer
Submit