berkowitzadmin20/Aug/2020UncategorizedPatient Survey 1. Please rate your experience level regarding the topics listed below: Experience: 1=Not Satisfied at All 5=Very Satisfied Your overall experience with your visit 12345N/A Length of time you waited to make an appointment 12345N/A Courtesy of the person at the front desk 12345N/A Friendliness of the person at the front desk 12345N/A Length of time you waited in the reception area 12345N/A Courtesy of the person who took you to the exam room 12345N/A Length of time the healthcare provider spent with you 12345N/A Check One: PhysicianPhysician Assistant Explanation of the treatment plan 12345N/A Length of time available to answer all of your questions 12345N/A Explanation of the purpose of the prescribed medications, dosages, and any side effects 12345N/A 2. Please rate your level of understanding of the topics below: 1= Do not Understand at All 5=Understand Completely Your main medical problem 12345N/A What you need to do about your problem 12345N/A Why you need to follow instructions 12345N/A How to contact our office 12345N/A 3. Please tell us how we could improve our service: 4. Please enter your name. Δ CONTINUE READING
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