"Helping you on your road to good health."
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. All responses will be kept confidential and anonymous. Thank you for your time. (Please rate based on the following: 5=Great; 4=Good; 3=Okay; 2=Fair; 1=Poor)
--Ease of getting care--
Ability to get in to be seen:
Hours office is open:
Convenience of office’s location:
Prompt return on calls:
Time in waiting room:
Time in exam room:
Waiting for tests to be performed:
Waiting for test results:
Listens to you:
Takes enough time with you:
Explains what you want to know:
Gives you good advice and treatment:
--Nurses and Medical Assistants--
Friendly and helpful to you:
Answers your questions:
--Other Staff Members--
Explanation of charges:
Collection of payment/money:
Neat and clean building:
Ease of finding where to go:
Comfort and Safety while waiting:
Keeping my personal information private:
The likelihood of referring your friends and relatives to us:
What do you like best about our center?
What do you like least about our center?
Suggestions for improvement?