Satisfaction Survey

The promptness with which our telephones are answered

Very promptly

Somewhat promptly

Neither promptly nor slowly

Somewhat slowly

Very slowly

Ease and availability of scheduling your appointment

Very easy and available

Somewhat easy and available

Neither easy nor difficult

Somewhat difficult or unavailable

Very difficult or unavailable

Friendliness and courtesy of the receptionist

Very friendly/courteous

Somewhat friendly/courteous

Neither friendly nor unfriendly

Somewhat unfriendly/rude

Very unfriendly/rude

Comfort and cleanliness of the reception area and exam room

Very comfortable/clean

Somewhat comfortable/clean

Neither comfortable/clean nor uncomfortable/dirty

Somewhat uncomfortable/dirty

Very uncomfortable/dirty

Care and concern of the staff

Very caring/showed much concern

Somewhat caring/showed some concern

Neither caring nor uncaring

Somewhat uncaring/showed little concern

Very uncaring/showed no concern

The amount of time waiting to see your physician

Very short wait

Somewhat short wait

Neither short nor long wait

Somewhat long wait

Very long wait

Physician explained things in a way that was easy to understand

Very easy to understand

Somewhat easy to understand

Neither easy for difficult to understand

Somewhat difficult to understand

Very difficult to understand

Satisfaction with time spent with physician and thoroughness of exam

Very satisfied/very thorough

Somewhat satisfied/somewhat thorough

Neither satisfied nor dissatisfied

Somewhat dissatisfied/not very thorough

Somewhat dissatisfied/not thorough

Handling of billing or claim concerns by staff

Very helpful and courteous

Somewhat helpful and courteous

Neither helpful nor unhelpful

Somewhat unhelpful or rude

Very unhelpful or rude

N/A

Overall, how would you rate your experience? *

Very positive

Somewhat positive

Neither positive nor negative

Somewhat negative

Very negative

Would you recommend this facility to your friends and family?

Yes

No

Not Sure