Azalea Gynecology Patient Satisfaction Survey

We want to be sure we are doing everything we can to serve you. Please take a minute to fill out this survey. All responses are confidential. Just let us know what to do better! Thank you.

On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate:

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1. The time between your call to schedule an appointment and your appointment date. Did we fit you in fast enough?
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2. The time it took us to answer your call?
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3. Your Provider
4. The manners of the person(s) who scheduled your appointment?
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5. The convenience of our office location?
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6. The professionalism and helpfulness of your reception. Was the receptionist polite?
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7. Your wait time in the office?
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8. The comfort, cleanliness and amenities of the reception area?
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9. The amount of time spent with your provider?
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10. Her Listening
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11. Her explanation of procedures, diagnoses, or treatment regimen?
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12. Her “bedside manner?”
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13. If you have visited our practice before, how convenient did you find it: Prescription refills - if appropriate?
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14. Getting lab results - if appropriate?
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15. Overall, how would you rate our practice?
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Patient Satisfaction Survey

Azalea Gynecology

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