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Patient Satisfaction Survey

Page One

1. Scheduling
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Telephone answered promptly
Knowledge of person answering call
Appointment scheduling process
Appointment time was convenient
2. Facility
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Parking
Building appearance
Cleanliness of public spaces
Cleanliness of exam rooms
3. Registration
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Receptionist greeting
Check-in process
Check-out process
4. Visit
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I was seen on time
I waited a reasonable amount of time
5. Approximately how long was your wait?
Taken EarlyNo Wait1-15 mins16-30 mins31+ mins
6. Staff
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Nurse / Clinical Staff
X-ray Staff
Dr.
Dr.
11. Would you recommend us to others?
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