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Satisfaction Survey (PDF)
1. Ease of scheduling your appointment/procedure with your preferred physician BadFairGoodVery GoodExcellentN/A
2. Did the physician
listen closely to your concerns and respect on what you have to say? BadFairGoodVery GoodExcellentN/A
explain things in a way that was easy to understand? BadFairGoodVery GoodExcellentN/A
give you easy to understand information about your procedure, care and tests? BadFairGoodVery GoodExcellentN/A
spend enough time with you? BadFairGoodVery GoodExcellentN/A
3. Did our staff
make you feel welcome? BadFairGoodVery GoodExcellentN/A
return your phone calls or emails promptly? BadFairGoodVery GoodExcellentN/A
4. Did you receive a reminder for your appointment? BadFairGoodVery GoodExcellentN/A
5. Did you use our Patient Portal? BadFairGoodVery GoodExcellentN/A
6. Was the Patient Portal:
user friendly and easy to use? BadFairGoodVery GoodExcellentN/A
giving you the information that you needed? BadFairGoodVery GoodExcellentN/A assisting on making/editing/cancelling your appointment? BadFairGoodVery GoodExcellentN/A
7. Did you visit our website? BadFairGoodVery GoodExcellentN/A
8. How would you rate your overall experience with our website BadFairGoodVery GoodExcellentN/A
9. Please rate the following attributes of our website
Accuracy of information BadFairGoodVery GoodExcellentN/A
Ease of navigation BadFairGoodVery GoodExcellentN/A Meeting your needs BadFairGoodVery GoodExcellentN/A
Quality of content BadFairGoodVery GoodExcellentN/A
Layout and design BadFairGoodVery GoodExcellentN/A
10. Do you have any other comments, questions, or concerns?
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