How Are We Doing?

Please take a few minutes to fill out this survey on the timeliness and quality of the service you received today. Atlanta Women's Specialists welcomes your feedback and your answers will be kept confidential. Thank you for your participation.

General Patient Information

In general, what is the quality of your health?


  • Outstanding

  • Good

  • Some chronic issues

  • Poor

How would you rate our concern for your privacy?


  • Outstanding

  • Good

  • Adequate

  • Poor

  • N/A

How often have you visited Atlanta Women’s Specialists within the past year?


  • First Visit

  • 2-5 Visits

  • More than 6

Scheduling Your Appointment

Did you schedule an appointment by phone, by email or via My Health Record?


  • Scheduled by phone

  • E-mail

  • My Health Record

If you scheduled an appointment, did you have to wait longer than expected to get scheduled?


  • Yes

  • No

How easy was it to make your appointment? On a scale of 1 to 5 with one being “very easy” and 5 being “difficult.”


  • 1
    Very Easy

  • 2

  • 3

  • 4

  • 5
    Difficult

How long did you wait to speak to a scheduling staff member?


  • 0 to 2 minutes

  • 3 to 5 minutes

  • 5 to 7 minutes

  • Longer

Was the person who scheduled your appointment courteous and helpful? On a scale of 1 to 5 with one being “very courteous” and 5 being “rude.”


  • 1
    Very Courteous

  • 2

  • 3

  • 4

  • 5
    Rude

Day of Your Appointment

How would you rate the courtesy of the staff at the reception desk? On a scale of 1 to 5 with one being “very courteous” and 5 being “rude.”


  • 1
    Very Courteous

  • 2

  • 3

  • 4

  • 5
    Rude

How long did you wait in the reception area beyond your scheduled appointment time?


  • 0 to 5 minutes

  • 5 to 20 minutes

  • 20 to 40 minutes

  • Other

How long did you wait in the exam room before the physician appeared?


  • 0 to 5 minutes

  • 5 to 20 minutes

  • 20 to 40 minutes

  • Other

Which services did you receive during your appointment?


  • OB Care

  • GYN Care

  • Ultrasound

  • Lab Only

The Nursing Staff

How would you rate the competence of the nurse who helped you?


  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A

How would you characterize the concern that the nurse showed for your problem? On a scale of 1 to 5 with one being “very concerned” and 5 being “unconcerned.”


  • 1
    Very Concerned

  • 2

  • 3

  • 4

  • 5
    Unconcerned

The Doctor

Who did you see for your appointment today?

Were you able to see the doctor of your choice?


  • Yes

  • No

  • N/A

Did you feel that your doctor spent an adequate amount of time with you?


  • Yes

  • No

  • N/A

Mark the boxes that characterize the demeanor of your doctor:


  • Attentive

  • Concerned

  • Friendly

  • Distracted

  • Rushed

  • Inconsiderate

How would you rate the competence of your doctor?


  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A

Did you feel that your doctor’s examination was thorough?


  • Yes

  • No

  • N/A

Please rate the clarity of the doctor’s explanation of your condition and treatment options:


  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A

How well did your doctor include you in your healthcare decisions?


  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A

Were your questions answered to your satisfaction?


  • Yes

  • No

  • N/A

Would you recommend this facility and its staff to your family and friends?


  • Yes

  • No

  • N/A

The Lab Staff

How would you rate the professionalism and competence of the person who drew your blood for labwork?


  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A

Our Electronic Services

Do you utilize our Web Portal (My Health Record)?


  • Yes

  • No

  • N/A

How would you rate our electronic services?

Information on Web Site

  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A
RX Refill Request

  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A
Online Appointment Request

  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A
Web message reply from Provider

  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A
Web Message Reply from Staff

  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A
Email appointment reminder

  • Outstanding

  • Good

  • Adequate

  • Needs improvement

  • Poor

  • N/A

Follow-up Care

How long did it take for us to return your call?

Rate the technical skills (thoroughness and competence) of the phone nurse.

Was the phone nurse friendly and courteous?

How long did it take for us to process your prescription refill request?

How long did it take for us to respond to your web message?

Billing Department

How long did take for us to return your call (or web message) regarding a billing questions?

Was the billing representative able to answer your questions or resolve the issue to your satisfaction?

Was the billing representative friendly and courteous?

Additional Feedback

Please list any areas in which our service could be improved.

Please share any additional comments.

Thank you for taking the time to fill out our survey. We rely on your feedback to help us improve our services. Your input is greatly appreciated.

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