Patient Survey        
Scheduling Poor Fair Very Good Excellent
         
Amount of time for receptionist to answer call:    
Friendliness and courtesy of phone receptionist:  
         
Office Flow         
         
Amount of time spent in waiting room:

Friendliness and courtesy of check-in receptionist:
Amount of time spent in exam room waiting for  provider:
Comfort, cleanliness and overall atmosphere:
Friendliness and courtesy of check-out receptionist:

         
Provider Satisfaction        
         
Communication and Listening skills, ability to explain procedures, diagnoses and/or treatment:
         
Follow Up Care         
         
Amount of time for a return call from phone nurse regarding results, prescriptions or answers to questions:
Friendliness and courtesy of phone nurse:
Technical skills (thoroughness, carefulness and competence) of phone nurse:
         
Billing Department        
         
Wait time to speak to someone regarding billing questions:
Ability of billing staff to answer questions or resolve issues:
Friendliness and courtesy of billing staff:
         
Electronic Services. Rate your satisfaction with our e-services        
         
Refill request:
Appointment scheduling:
Web message reply from provider:
Web message reply from staff:

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