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Patient Satisfaction Questionnaire

Patient Satisfaction

  • How long have you been a patient here?

  • If this is your first visit, how did you hear about us?

  • Other:

  • How convenient are we in the following areas?

  • • Location

  • • Parking

  • • Clinic hours

  • • Availability of staff to help you with your questions

  • Please let us know what we can do to improve any of these areas.

  • Was it easy and convenient to get an appointment?

  • When you last contacted the clinic by phone, were you treated courteously by the staff?

  • When making your last appointment, did the staff make every effort to suggest a time and day that was convenient for you?

  • When you come into the clinic, is the staff courteous?

  • Are you usually seen in a prompt manner?

  • Please rate us on how genuinely interested we seem to be in you as a person.

  • During your visits, do you think we adequately answer your questions?

  • Are you satisfied with the quality of medical treatment you receive from us?

  • On a scale of 1 to 5, 1 being extremely poor and 5 being excellent, how would you rate your overall experience with our clinic?

  • What could we do to make the experience better?

  • If there was one thing you could change about your experience with this clinic, what would it be?

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