Patient Satisfaction Survey

Dear Patient, In order to further improve our service we ask that you complete the patient satisfaction survey. Please select your answers from 1-5 by choosing a provider below, 1 being the least to 5 being the greatest.

 

Scheduling Your Appointment

Your phone calls are usually answered promptly.
1 2 3 4 5
Our receptionist is always friendly and helpful.
1 2 3 4 5
You can schedule a convenient / timely appointment with your physician.
1 2 3 4 5
Our hours of operation are convenient for you.
1 2 3 4 5
Your physician answers your calls promptly.
1 2 3 4 5

Your Appointment

You usually wait less than 20 minutes to see your physician.
1 2 3 4 5
Your physician's nurse is always helpful and courteous.
1 2 3 4 5
Your physician is always professional and courteous.
1 2 3 4 5
Your physician listens to all of your concerns.
1 2 3 4 5
Your physician answers all of your questions.
1 2 3 4 5
Your physician adequately explains any tests or treatment options.
1 2 3 4 5
You are able to make a convenient / timely appointment for follow-up care.
1 2 3 4 5
You usually receive your test results in a timely manner.
1 2 3 4 5

Facilities

Was the office clean?
Yes No
Were the examining rooms clean?
Yes No
Were the restrooms clean?
Yes No

Operations

Have you previously visited our website
Yes No
Did you know our website contains useful information and tools for maintaining your health?
Yes No
Are there additional services we can provide for you?

Yes No
If yes, please explain:

South Bay Gastroenterology Medical Group likes to be an active member in the community. Do you know of any upcoming community events where we can volunteer our services?

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