PATIENT SATISFACTION SURVEY

Please choose the location of your visit

Please choose the ECS provider seen

Please Rate the Following:

YOUR APPOINTMENT
Appointment available within a reasonable amount of time

YOUR APPOINTMENT
Waiting time in reception area

YOUR APPOINTMENT
Waiting time in exam room

OUR STAFF
Courtesy of person who took your call

OUR STAFF
Friendliness and courtesy of the receptionist

OUR STAFF
Care and concern of our medical assistants

OUR COMMUNICATION WITH YOU
Your phone calls answered promptly

OUR COMMUNICATION WITH YOU
Getting advice or help when needed during office hours

OUR COMMUNICATION WITH YOU
Explanation of your procedure/exam

YOUR VISIT WITH THE PROVIDER (Doctor)
Felt like your questions were answered

YOUR VISIT WITH THE PROVIDER (Doctor)
Thoroughness of the examination

OUR FACILITY
Patient Waiting Areas

OUR FACILITY
Adequate parking

OUR FACILITY
Signage and directions easy to follow

YOUR OVERALL SATISFACTION WITH
Our practice

WOULD YOU RECOMMEND THE PROVIDER TO OTHERS?
IF NO, PLEASE TELL US WHY


IS THERE ANY WAY WE CAN IMPROVE OUR SERVICES TO YOU?


Thank you for taking our survey.

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