Your experience is important to us. Your answers will help us find the best way to meet your needs and provide you with quality care and service.
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
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
Δ
Copyright © All rights reserved.