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Welcome to our practice! You are very important to us, and we value your opinions and comments regarding our medical office. A moment of your time is requested to answer the following questions about your visit. Your comments will assist us in continuing to provide the highest quality of medical care available.
 
 
 
Please enter the date of your appointment?
 
 

Please select the location where you were seen for your appointment:
Shipyard Blvd. - Wilmington Porters Neck - Wilmington Burgaw Jacksonville Elizabethtown Southport
 
 

Please select the Physician or the Physician Assistant that you had your appointment with:
 
 
 
HOW SATISFIED ARE YOU WITH:
 
 


RECEPTION STAFF & AREA:
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied N/A
Availability of appointment times
Staff respected your privacy
Professional manner of checkout staff
There is current and interesting material to read
There is adequate seating available
The reception area is neat and comfortable
Professional manner of receptionists
Getting through to the office by phone
Registration process
 
 

MEDICAL SUPPORT STAFF:
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied N/A
Professional manner of the medical assistants
Professional manner of MRI technicians
Explanation of X-ray procedures
Professional manner of test/surgery scheduling personnel
Professional manner of X-ray technicians
Explanation of MRI procedures
 
 

PHYSICIAN / PHYSICIAN ASSISTANT:
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied N/A
The physician or physician assistant was gentle, thorough and seemed genuinely concerned
The physician or physician assistant answered all my questions
The physician or physician assistant spent an ample amount of time with me
The physician or physician assistant explained the treatment plan in terms I could understand
 
 

GENERAL:
Yes No
Will you return to our office for other orthopedic conditions?
Would you refer a friend or family member to the practice?
Did you visit our website to obtain information before your appointment?
If yes, was it informative and easy to read?
 
 

How did you hear about Atlantic Orthopedics? (check all that apply)
 
Google/Web
 
Yellow Pages
 
Dr. Referral
 
Friend/Family
 
Hospital Referral
 
Wrightsville Beach Magazine
 
Wilmington Magazine
 
Wilmington Star News
 
Welcome Service
 
Newsletter
 
Greater Wilmington Business Journal
 
Other
 

 
 
 
What did we do well today?
   
 
 
 
What can we do better in the future?
   
 
 
 
Name (optional):
   
 
Thank you for taking time to complete this survey. Please contact [email protected] if you have any questions regarding this survey.
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