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
Time waiting for test results
Provider gives clear explanations
Nurses/Medical Assistants friendly and helpful
Front office staff friendly and helpful
Comfort and safety while waiting
Keeping my personal information private
Were you offered information on how to access our online patient portal?
How likely are you to refer your friends and relatives?
What was the date of your most recent visit to our office?
Which provider did you see on the above date of service?
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.