Patient Survey

We constantly strive to improve our services, and value our patient input on how we can do things better. Please take a moment to complete the survey below and let us know how we're doing. Thanks!

For numbered responses, please indicate 1-5 where 1 means much improvement needed and 5 means excellent.

Front Office		Triage (includes assistant answering your calls regarding medical questions)
Were you greeted upon your arrival?		Friendliness
		Knowledge
Ease of check in		Helpfulness
Friendliness of receptionist		Response time to messages
Time in lobby
Kept you updated on delays		Physician or Nurse Practitioner
Comfort of Lobby		Dr. Messer
Medical Assitant (person who puts you in an exam room)		Lynne Fiore
Friendliness		Michelle Carnes
Kept you updated of any delays		Barbara Lockwood
Responded appropriately to any concerns
Check-out (includes person making any return appointments)		Ultrasound
Friendliness		Friendliness of sonographer
Ease & efficiency of check-out		Wait time
Phones		Gentleness
Friendliness		Lab
Wait time		Friendliness of phlebotomist
Accommodated your needs		Wait time
Website		Gentleness
User Friendly
Helpful Information		Additional Comments
On-line Scheduling
On-line Questions

	Your Email	(required)

Patient Survey

Front Office

Triage (includes assistant answering your calls regarding medical questions)

Physician or Nurse Practitioner

Medical Assitant (person who puts you in an exam room)

Check-out (includes person making any return appointments)

Ultrasound

Phones

Lab

Website

Additional Comments

Your Email