Please fill out our survey. Let us know how we are doing.

In our goal to provide you with the best service and care possible, we would appreciate your candid response to our questions below. Kindly check all that apply. Thank you!

1. The availability of appointment scheduling is:
Excellent Good Satisfactory Poor
       
2. When I call the office, the receptionist who answers the phone is pleasant and helpful.
Strongly Agree Agree Disagree Strongly Disagree
       
3. When I arrive for my appointment, I am greeted by the staff properly.
Strongly Agree Agree Disagree Strongly Disagree
       
4.Typically, when I arrive for my appointments I wait to be seated
0-5 minutes 6-10 11-15 16+
Do you consider this satisfactory? Yes No
       
5. The staff always treats me gently and with care.
Strongly Agree Agree Disagree Strongly Disagree
       
6. The staff is always pleasant and makes my visit enjoyable.
Strongly Agree Agree Disagree Strongly Disagree
       
7. How would you describe your confidence in our staff?
Excellent Good Satisfactory Poor
       
8. The doctor always treats me gently and with care.
Strongly Agree Agree Disagree Strongly Disagree
       
9. How is your understanding of your treatment objectives?
Excellent Good Satisfactory Poor
       
10. I find my appointments are completed in a timely manner.
Strongly Agree Agree Disagree Strongly Disagree
       
11. Our office is a comfortable and relaxing atmosphere.
Strongly Agree Agree Disagree Strongly Disagree
       
12. Would you refer family and friends to our office?
Yes No Unsure  
       
Please include any comments or suggestions.


 


 

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