Patient Survey

Name (Optional):
Email (Optional):
Phone Number (Optional):
The ability to get through, by phone, to the person or department you want to reach:
The ability of the phone operator to direct your call correctly and efficiently:
The ability to arrange an appointment at a convenient time:
Convenience (close, easy to find) of the office location:
Our office hours:
Availability of parking at our office:
The friendliness, concern and courtesy shown to you by your Orthopedic Physician/PA:
The length of time you waited between making an appointment for routine care and the day of the visit:
Waiting time in reception area:
Explanation of your condition and treatment options:
The amount of time spent with the Orthopaedic Physician/PA during a visit:
The thoroughness of the examination and treatment:
Efficiency of the check-out process:
Friendliness and courtesy shown by our staff:
The comfort, appearance and cleanliness of our facilities:
The helpfulness of our business staff in answering insurance and financial questions:
How satisfied are you with the overall quality of care and services you received from your orthopaedic physician?:
The accuracy and clarity of billing statements:
How did you hear about us?:
Would you recommend us to a friend?:	Yes Maybe No