Dear Valued Patient:

Would you take a few minutes of your time to help us? Our goal is to provide comfort, convenience, and satisfaction as well as the very best medical care to all our patients. We’d like to know how you feel about our medical services, our patient-handling systems, our physicians and staff members. Your comments will help us evaluate our operations to ensure that we are truly responsive to your needs.

It would be very helpful if you would provide your name, telephone number and e-mail address when responding to this survey. We take each survey response very seriously and would like to give you prompt feedback. We can only do that if you provide this information.

Thank you for your help.

How satisfied are you with …

  • Your Appointment

  • Our Staff

  • Our communication with you

  • Your visit with the doctor

  • Our Facility

  • Overall ... how do you feel about today's visit?

  • Would you recommend us?

  • Can we do anything to improve?

  • This field is for validation purposes and should be left unchanged.