Patient Satisfaction Survey

Page One
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1. Scheduling
1. Scheduling54321
Telephone answered promptly
Knowledge of person answering call
Appointment scheduling process
Appointment time was convenient
2. Facility
2. Facility54321
Parking
Building appearance
Cleanliness of public spaces
Cleanliness of exam rooms
3. Registration
3. Registration54321
Receptionist greeting
Check-in process
Check-out process
4. Visit
4. Visit54321
I was seen on time
I waited a reasonable amount of time
5. Approximately how long was your wait?
6. Staff
6. Staff54321
Nurse / Clinical Staff
X-ray Staff
Dr.
Dr.
11. Would you recommend us to others?
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