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  1. Surveys
  2. 2003
  3. September
  4. U
  5. Untitled
0%
 

* How often do you come to our clinic?
 
This is my first visit
 
More than once a month
 
Every one or two months
 
Every three or four months
 
Once or twice per year
 
 

* How satisfied are you with the care you receive at our office?
Very satisfied Unsatisfied Somewhat satisfied Very satisfied Extremely satisfied
 
 

* Do you wait too long to see our doctors?
Definitely Probably Might or might not Probably not Definitely not I don't care
 
 

How long do you think your office visit should last?(from the time you check in until you leave)
 
Less than 30 minutes
 
Between 30 minutes and 1 hour
 
Between 1 hour and 1 1/2 hours
 
Between 1 1/2 hours and 2 hours
 
Don't Care
 
 

* Please check any part(s) of your visit today that seemed too slow.
 
Check in at the front desk
 
Waiting room
 
Nurses area( for blood pressure, weight)
 
Wait in exam room before you see the doctor
 
The doctor visit
 
Check out desk
 
The lab visit
 
The xray visit

 
 
 
Please make any other comments/suggestions below
   
 
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