This free survey is powered by
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Exit Survey
 
 
We would like to know how you feel about the services we provide so we can make sure we are meeting our needs. Your responsesare directly responsible for improving theses services. All responses will be kept confidential and anonymous.
Thank you for your time.
 
 
 
AGE?
 
Under 18
 
31-45
 
46-60
 
61+
 
 
 
Gender:
 
Male
 
Female
 
 
 
Race:/Ethnicity
 
Asian
 
Black African
 
White
 
Hispanic or Latino
 
Other
 
 
 
Which podiatrists do you seen:
 
Carol Howlett
 
Judith Dickinson
 
 
Facilities:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Neat and clean building
Comfort & safety while seated
Privacy
 
 
Ease of getting an appointment
Excellent Good Fair poor N/A
Ability to get in to be seen
hours practice is open
Convenience of practice location
Prompt return on calls
 
 
 
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club

 
 
Waiting
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Time in waiting room
Waiting for orthotics
 
 
 
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club