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POA Patient Experience Survey

As a patient of POA, your opinion is very important to us. That’s why, following each appointment, we’re asking you to take a moment and share your experience with us. Your input helps us continuously improve the quality of the care we deliver, as well as the experience you have each time you visit one of our offices. 

We thank you in advance for sharing your feedback.
Note: The privacy of your health information is protected under HIPAA, the Health Insurance Portability and Accountability Act. 
3. Did you feel the time you spent waiting to see your Physician/PA in the office/exam room was acceptable?
4. If you made a special request to our staff (prescription, forms, call back, etc.) was our response timely? 
5. Did our Physician/PA listen carefully to you and answer all of your questions?
We are sorry we've missed our goal to provide you with an excellent experience.
May we contact you for more information regarding your appointment?
How would you prefer to be contacted? 
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6. Did our Physician/PA explain things in a way that was easy to understand?
7. Did our Physician/PA spend enough time with you during your appointment today?
8. Please rate your overall satisfaction with the Physician/PA you saw during your recent visit.
Extremely Satisfied (10)(9)(8)(7)(6)Somewhat Satisfied (5)(4)(3)(2)Not Satisfied (1)
We are sorry we've missed our goal to provide you with an excellent experience.
May we contact you for more information regarding your appointment?
How would you prefer to be contacted? 
   .
Please have someone from your office contact me about my recent visit.
All answers will remain anonymous unless you have shared your name in the above survey. In these instances, you may be contacted by one of our staff members, PAs or physicians who will follow up with you to talk more about your visit. Additionally, the privacy of your patient data is protected under HIPAA, the Health Insurance Portability and Accountability Act.