Patient Satisfaction Survey
We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. PLEASE RATE ON A SCALE OF 1 TO 5. 5(GREAT), 4(GOOD), 3(OK), 2(FAIR), 1(POOR)
Ability to get in to be seen
  • 5
  • 4
  • 3
  • 2
  • 1
Office hours
  • 5
  • 4
  • 3
  • 2
  • 1
Prompt return on calls
  • 5
  • 4
  • 3
  • 2
  • 1
  • Not appicable
Neat and clean building
  • 5
  • 4
  • 3
  • 2
  • 1
Time in waiting room
  • 5
  • 4
  • 3
  • 2
  • 1
Time in exam room
  • 5
  • 4
  • 3
  • 2
  • 1
Time waiting for test results
  • 5
  • 4
  • 3
  • 2
  • 1
  • Not applicable
Provider listens to you
  • 5
  • 4
  • 3
  • 2
  • 1
Provider gives clear explanations
  • 5
  • 4
  • 3
  • 2
  • 1
Nurses/Medical Assistants friendly and helpful
  • 5
  • 4
  • 3
  • 2
  • 1
Front office staff friendly and helpful
  • 5
  • 4
  • 3
  • 2
  • 1
Comfort and safety while waiting
  • 5
  • 4
  • 3
  • 2
  • 1
Keeping my personal information private
  • 5
  • 4
  • 3
  • 2
  • 1
Were you offered information on how to access our online patient portal?
  • Yes
  • No
How likely are you to refer your friends and relatives?
  • 5 Highly likely
  • 4 Somewhat likely
  • 3 Neutral
  • 2 Least likely
  • 1 Not likely
What was the date of your most recent visit to our office?
Which provider did you see on the above date of service?
  • James Pridgen, MD
  • Jan Pixton, PA-C
  • Other
  • Do not know or would rather not say
Anything more you'd like to tell us?
Your privacy is very important to us. Your responses will be kept confidential. Thank you for your time.