Satisfaction Survey

Client Satisfaction Survey   Orthopaedic Division

Please take a few minutes of your time to help us. We'd like to know how you feel about our offices, our providers and our staff members. Your comments will help us evaluate our operations to ensure that we are truly responsive to your needs.

Contact Information * Enter me in the MasterCard® drawing

Name
Email Address
Phone

* Contact information is only required if you wish to be entered in our monthly MasterCard® gift card drawing

Appointment Information (optional)

Office you are reporting on St. Peters Winghaven
Date of the visit being reported
Physician who treated you DiFilippo Keohane Schaberg Powell Berni Melander Paranjpe Quigley

Survey

Please use this scale to answer the following questions.

	1	2	3	4	5	N/A
I was able to schedule my appointment for this visit within a reasonable amount of time
When I called the office during regular office hours, I received the help or advice I needed
If I had to leave a message, I received a call back within 24 hours.
Telephone operator was courteous and professional
Front office staff was efficient and courteous
Nursing and medical assisting staff were knowledgeable and professional
X-ray technologist was courteous and professional
MRI technologist was courteous and professional
Billing staff were knowledgeable and professional
The doctor was concerned, knowledgeable and professional
The doctor listened to me and my problems and showed respect and concern for what I had to say
The doctor explained things in a way I could understand
The check out process was efficient
I was satisfied with the service and the overall quality of my visit

Comments

What did you like the most about your visit?
What did you like the least about your visit?
Other comments or suggestions?