1. When you called for an appointment, were you satisfied with the response from the person who answered the telephone?

2. When you arrived at the office, did you find the receptionist to be:
Friendly and courteous?

Helpful?

3. How acceptable was the amount of time spent in the reception area and examining room, before seeing the doctor?

4. When you were called to the examining room, did you find our nurse/technician to be:
Friendly and courteous?

Helpful?

Sympathetic and caring?

5. During your examination, did you find the doctor to be:
Friendly and courteous?

Helpful?

Sympathetic and caring?

6. When you saw the doctor, were you satisfied that he/she spent an appropriate amount of time with you, answered your questions, and explained medical procedures and treatments to your satisfaction?

7. How satisfied were you with the doctor's diagnosis and treatment recommendations?

8. If surgery was recommended, how satisfied were you with the information provided by the doctor/nurse regarding the need for the surgery and the detail provided about the recommended procedure(s)?

9. If you had surgery, how satisfied were you with your post-operative follow-up care?

10. When asking billing/insurance questions, did you find our billing/insurance staff to be:
Friendly and courteous?

Helpful?

11. Please rate your overall experience with our practice:

12. Would you recommend our practice to your friends?