How satisfied are you with the following? Please
select the number you feel, in your opinion, about our clinic for each line or
number below. Please feel free to comment at the bottom!
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Very Dissatisfied |
Satisfied |
Very Satisfied | |
| 01. |
Ease of making appointment for checkups (Physicals,
well visits, routine, etc.) |
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| 02. |
Ease of making appointments for acute sickness? |
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| 03. |
Waiting time in our office? |
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| 04. |
Your phone calls handled in a prompt and courteous
manner? |
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| 05. |
Ease in reaching a doctor on call weekends and
nights? |
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| 06. |
The time it takes someone from our office to respond
when you call the office with an urgent problem? |
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| 07. |
Are our receptionists/operators friendly &
courteous? |
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| 08. |
Are our nurses/lab personnel friendly, courteous and
professional? |
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| 09. |
Our office's appearance (Cleanliness, appearance,
etc.) |
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| 10. |
Our Office's convenience (location, parking, hours,
office layout)? |
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| 11. |
The way we teach you about improving your health? |
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| 12. |
How satisfied are you with our insurance filing
& monthly statements? |
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| 13. |
How caring is our office staff? |
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| 14. |
The charges for services (our fees)? |
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