Which doctor were you seen by?
Which office were you seen at?
Appointment available within a reasonable amount
of time:
Appointment scheduled at a convenient time of day.
Waiting time in the reception area.
Waiting time in the exam room.
Our Staff
The friendliness and courtesy of our staff:
Appointment schedulers
Telephone operators
Check-in
Medical technicians
Check-out
Business Office
Your visit with the doctor:
The doctor listening to you
The doctor taking time to answer your questions
The doctor adequately explaining treatment options
The thoroughness of the examination
The outcome of treatment prescribed by your doctor
Our Facility:
Hours of operation convenient for you
Overall comfort, appearance and cleanliness
Adequate parking
Signage and directions easy to follow
Your overall satisfaction
Our practice
The quality of your medical care
Would you recommend our practice to a family member or friend?
Did you receive a reminder call about your appointment?
Additional comments:
Contact Information (optional):
Name
Address
Phone number
Email address
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