Patient Survey

Patient Information

5 - Great, 4 - Good, 3 - OK, 2 - FAIR, 1 - POOR

Ease of getting care:

Ability to get in to be seen

• 5
• 4
• 3
• 2
• 1

Hours Center is open

• 5
• 4
• 3
• 2
• 1

Convenience of Center’s location

• 5
• 4
• 3
• 2
• 1

Prompt return on calls

• 5
• 4
• 3
• 2
• 1

Waiting:

Time in waiting room

• 5
• 4
• 3
• 2
• 1

Time in exam room

• 5
• 4
• 3
• 2
• 1

Waiting for tests to be performed

• 5
• 4
• 3
• 2
• 1

Waiting for test results

• 5
• 4
• 3
• 2
• 1

Staff:

Provider: (Physician, Dentist, Physician Assistant, Nurse Practitioner)

Listens to you

• 5
• 4
• 3
• 2
• 1

Takes enough time with you

• 5
• 4
• 3
• 2
• 1

Explains what you want to know

• 5
• 4
• 3
• 2
• 1

Gives you good advice and treatment

• 5
• 4
• 3
• 2
• 1

Nurses and Medical Assistants:

Friendly and helpful to you

• 5
• 4
• 3
• 2
• 1

Answers your questions

• 5
• 4
• 3
• 2
• 1

All Other:

Friendly and helpful to you

• 5
• 4
• 3
• 2
• 1

Answers your questions

• 5
• 4
• 3
• 2
• 1

Payment:

What you pay

• 5
• 4
• 3
• 2
• 1

Explanation of charges

• 5
• 4
• 3
• 2
• 1

Collection of payment/money

• 5
• 4
• 3
• 2
• 1

Facility:

Neat and clean building

• 5
• 4
• 3
• 2
• 1

Ease of finding where to go

• 5
• 4
• 3
• 2
• 1

Comfort and Safety while waiting

• 5
• 4
• 3
• 2
• 1

Privacy

• 5
• 4
• 3
• 2
• 1

Confidentiality:

Keeping my personal information private

• 5
• 4
• 3
• 2
• 1

The likelihood of referring your friends and relatives to us:

• 5
• 4
• 3
• 2
• 1