We welcome your comments and suggestions.

Please comment on your last visit:


Was it easy to make and appointment?

always  usually  sometimes  rarely  never 


Were you greeted pleasantly upon arrival?

always  usually  sometimes  rarely  never 


Were you seen on time?

always  usually  sometimes  rarely  never 


Did our staff seem genuinely interested in you?

always  usually  sometimes  rarely  never 


Did the doctor spend enough time with you?

always  usually  sometimes  rarely  never 


Did the doctor answer your questions to your satisfaction?

always  usually  sometimes  rarely  never 


Did you receive complete information concerning
Insurance coverage,co-payments, and fees?


always  usually  sometimes  rarely  never 


Would you recommend us to a friend, family member or colleague?

yes  no 


If there was one thing we could do to improve
our quality of care or service, what would it be?







Thank you for taking the time to complete this survey.
We sincerely appreciate your comments.

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