This free survey is powered by
QUESTIONPRO.COM
Create a Survey
100%
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?
--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
2026
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:
-- Select --
I had an MRI, CT or Bone Density Scan and did not see a physician or physician assistant
Richard S. Bahner, MD
Robert B. Boswell, MD
Darrin F. Eakins, MD
Walter W. Frueh, MD
Shawn B. Hocker, MD
Jon K. Miller, MD
Francis S. Pecoraro, MD
R. Mark Rodger, MD
Kevin S. Scully, MD
Murray K. Seidel, MD
Jill Billups, PA-C
Michael Dilello, PA-C
Stephen Free, PA-C
Armando Gonzalez, PA-C
John Hendrick, Jr., PA-C
Dave Shaw, PA-C
Richard Ulstad, PA-C
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.
Loading...
close
Loading...
Close
qprun4