Patient Survey

One of our ongoing clinic goals is to better serve our patients.  Please take a few moments to complete this patient survey.  Your comments will help us evaluate our operations to ensure that we are truly responsive to your needs.  Mark the circle which best corresponds to your answer.  Thank you for your help.

1. How long did you wait in the waiting room today for your scheduled appointment?
Not at All Less than 15 minutes 15-30 More than 30 minutes
Please rate the following as: 1-Strongly Disagree, 2-Dissagree, 3-Neutral, 4-Agree, 5-Strongly Agree
  1 2 3 4 5
2. The amount of time spent in the waiting room was acceptable
3. The amount of time spent in the exam room before seeing the doctor was acceptable
4. The doctor took time to listen to my concerns and answer my questions
5. The doctor took adequate time to explain my test results
6. The facility was neat and clean
7. An appointment was available within a reasonable amount of time
8. My calls are returned in a timely manner
9. When I contact the clinic by phone, I am "on hold" for a reasonable amount of time
10. The reception staff was friendly, helpful and courteous
11. The nursing staff was friendly, helpful and courteous
12. The lab staff was friendly, helpful and courteous
13. The X-ray staff was friendly, helpful and courteous
14. I would recommend this clinic to my family and friends Yes No

Which of our facilities were you seen at?


What are we doing well?

What could we do better?