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Tracking code of this form: P507-F570-U0-N608090
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[ Print the form ]
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Waiting time in the reception area
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Ease of making appointment for diagnosing services consisting of physical exam, laboratory, Radiology, etc.
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Appointment available within a reasonable amount of time
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Waiting time in the exam room
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Ease of getting a referral when you needed one
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The friendliness and courtesy of the receptionist
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The caring
concern of our nurses/medical assistants
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The professionalism of our lab or x
-ray staff
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Ease of speaking directly with your physician during hospitalization period
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Your phone
calls answered promptly
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Getting advice or help when needed during office hours
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Explanation of your procedure (if applicable)
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Your test results reported in a reasonable amount of time
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Effectiveness of our health information materials
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Taking time to answer your questions
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Amount of time spent with you
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Instructions regarding medication/follow-up care
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Cleanliness of room, bed sheets, blankets, etc
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Quality of heating, cooling, lighting facilities
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WOULD YOU RECOMMEND THE PROVIDER TO OTHERS?
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IF NO, PLEASE TELL US WHY:
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IF THERE IS ANY WAY WE CAN IMPROVE OUR SERVICES TO YOU, PLEASE TELL US ABOUT IT:
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