Patient Satisfaction Survey

Tell us what you think!

Survey

  
 

We are committed to providing the very best medical care to our patients, in a comfortable, professional environment.  To assist us in making this possible, we would like to know how you feel about our medical services, our office interactions, our physicians and our staff members.  Your ratings and comments will help us to evaluate our operations to insure that we are responsive to your needs and meet or exceed your expectations.  Thank you, in advance, for your help!

 

PLEASE RATE THE FOLLOWING:

      Dr. Dryer     Dr. Onan     Dr. Smith     Dr. Wupperman     Dr. Blauzvern
 
YOUR APPOINTMENT: Excellent Very Good Good Fair Poor Does not Apply
1. Ease of making appointments by phone
2. Ease of making appointments on website
3. Getting an appointment within a reasonable number of days
4. Getting an appointment time that is convenient for you
5. The efficiency of the check-in process
6. Smooth flow from check-in to check-out
7. Waiting time in reception area
8. Waiting time in the exam room
9. Keeping you informed if your appointment was delayed
10. Ease of getting a referral when you needed one
 
OUR STAFF: Excellent Very Good Good Fair Poor Does not Apply
1. The courtesy of the person who took your initial call
2. The friendliness and courtesy of the receptionist
3. The professionalism of our x-ray staff
4. The helpfulness of the people who assisted you with billing or insurance
5. The helpfulness of our MRI/procedure scheduling staff
 
OUR COMMUNICATION WITH YOU: Excellent Very Good Good Fair Poor Does not Apply
1. Your phone calls answered promptly
2. Getting advice or help when needed during office hours
3. Explanation of your procedure
4. Quality of information given by clinical staff
5. Returned your calls in timely manner
6. Timeliness and effectiveness of email communication
7. Your ability to obtain prescription refills by phone
 
YOUR VISIT WITH THE DOCTOR: Excellent Very Good Good Fair Poor Does not Apply
1. Willingness to listen carefully to you
2. Taking time to answer your questions
3. Amount of time spent with you
4. Explaining things in a way you could understand
5. Instruction regarding medication/follow-up care
6. The thoroughness of the examination
 
OUR FACILITY: Excellent Very Good Good Fair Poor Does not Apply
1. Hours of operation convenient for you
2. Overall comfort
3. Adequate parking
4. Signage and directions easy to follow
5. Decor and appearance of facility
 
YOUR OVERALL SATISFACTION WITH: Excellent Very Good Good Fair Poor Does not Apply
1. Our practice
2. The quality of your medical care
3. Overall rating of care from your doctor
 
Would you recommend your doctor to others? Yes No        
If no, please tell us why not:
If you have suggestions for improving our service, please tell us about it:
Some information about you:  Male    Female 

 Your age:   18-30      31-40       41-50       51-60         Over 60 

How did you hear about us?    

       If other, please specify:

Are you:   New Patient       Established Patient