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Patient Survey

Your satisfaction with the care you received during your visit to out office is very important to us. Please let us know how we are doing so that we can improve our services to you. Thank you in advance for taking the time and effort to fill out and return our survey. Your ratings and comments are greatly appreciated!

Please rate the following:

  Excellent Good Satisfactory Poor
Courtesy of the person who scheduled your appointment
Helpfulness on the telephone in general
Friendliness and competence of the front office
Friendliness and competence of the back office
Concern the technician showed for your problem
Friendliness/courtesy of the Dr. J or Dr. M
Explanations the doctors gave you about your problem/condition
Our concern for your privacy
Handling by billing department
Overall experience received during your visit
 
What could we have done to make your visit better?
Any comments about a specific staff member?
Additional comments?

 


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