Patient
Satisfaction Survey
Here at Dr.
Scheduling and Telephone Experience
1)
Overall
scheduling ease
2)
Time
spent on hold in order to schedule
appointment
3)
Efficiency
of scheduler in gathering
necessary information
4)
If
you left a message, your call was
promptly returned by staff
5)
Handled
call in a courteous manner
6)
Schedulers
introduction and orientation
to our website for online patient
registration
7)
Ease
of our online patient registration
8)
Use
of the automated appointment
confirmation
Your
Waiting Room Experience
9)
Greeted warmly upon arrival
10) Speed of check-in process
11) Concern for your privacy of information
12) Time spent in waiting room prior to back
office seating
13) Comfort of our waiting room
14)
15) Acknowledgement of doctor/provider
delays, if any
Your Back Office Experience
16) Friendly and courteous
17) Appeared professional and technically
competent
18) Explained all procedures and gave clear instructions
19) Concern for your needs
20) Concern for your privacy
21) Music
Your Doctor/ Provider Experience
22) Appeared genuinely concerned about you
23) Explained findings and treatment plan
24) Encouraged and answered your questions
25) Spent an adequate amount of time with you
Your
Billing Experience
26) Understanding of financial
obligation prior
to the performance of
services
27) Processing your insurance claim
Educational Materials
28) Website
29) Brochures
and leaflets
30) Audiovisual in waiting area
31) Informed consents
32) Treatment plan
Your Follow up Experience
33) Response time to your questions by
telephone during normal business hours
34)
Responsiveness and follow up of after
hour
calls
35)
Response time to voice messages
36)
Response time to e-mail messages
Your Overall Experience
37)
Your satisfaction
38)
Attitude of our staff
39)Organization and cleanliness
40)
Preparation for home care after surgery
Please share any additional comments
..
Thank you for taking the time to
fill out our survey. Your input is
greatly appreciated.