How was your experience on the phone when making your appointment?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
Were all your calls with messages returned within 1 working day?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
Did your appointment time and /or availability meet your needs?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
How were you and your child greeted by the front office staff?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
How was your and your child's experience with the back office staff?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
How was your and your child's experience with the physician?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
Did you and your child receive the personal attention that you expected?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
Were all your questions regarding any account balances with us adequately explained?
N/A
1(Very Unsatisfied)
2(Not Satisfied)
3(Fair)
4(Good)
5(Excellent)
Would you like to be contacted regarding this survey?
PLEASE SELECT
YES
NO
