Satisfaction Survey We want to be sure we are doing everything we can to serve you. Please take a minute to fill out this confidential survey. Just let us know what we are doing well and what we can to do better! Patient Satisfaction Survey Your Physician/Provider(Required) Office Appointment SatisfactionPlease indicate your level of satisfaction with the following items related to your office appointment.Getting through to the office by phone.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedThe time between your call to schedule an appointment and your appointment date.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedThe manners of the person(s) who scheduled your appointment.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedClarity of directions to the office and the time of your appointment.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedThe professionalism and helpfulness of your reception.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedYour wait time in the office.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedThe comfort, cleanliness and amenities of the reception area.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedThe extent to which staff respected your privacy.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedCare SatisfactionPlease rate the following items related to the delivery of your care.Your physician/provider's listening skills.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedHis or her explanation, of procedures, diagnoses or treatment regimen.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedHis/her personal manner (courtesy, respect, sensitivity, friendliness.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedOther staff's personal manner (courtesy, respect, sensitivity, friendliness).Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedTechnical skills (thoroughness, carefulness, competence) of the physician/practitioner.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedHow prepared (records and educational materials readily available) the staff and physician/provider were for your visit.Rate Satisfaction(1) Not Satisfied(2)(3) Neutral(4)(5) Very SatisfiedAdditional Information or Feedback (Optional)