Patient Satisfaction Survey

1. Would you recommend us to a friend or family member?

Absolutely
Maybe
Probably not


3. Was your problem resolved or question answered?

Yes, completely
Sort of
I'm confused


5. Would you come visit again?

I plan on it
We'll see
I don't think so


7. What did you like about us?




8. What did you NOT like about us?




9. Anything else?

2. Was the staff friendly and helpful?

Definitely
A little
Not really


4. Was our phone service pleasant?

Very
Average
Not great


6. How do you know about us?

In the Mail
Radio
Google
Facebook
Word of Mouth
Printed Ad
Other