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Summit Orthopedics Patient Satisfaction Survey: Help Us Prescribe You a Satisfying Experience

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.
We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.
This question requires a valid number format.
2. Your Gender *This question is required.
3. Your Race/Ethnicity
4. Is ths your first visit to Summit Orthopedics for your current condition/injury? *This question is required.
5. Pick one option below: *This question is required.
7. Please indicate the services you received at your MOST RECENT visit.
11. Please indicate how well you think we are doing in the following areas:
Space Cell GreatGoodOkFairPoorNot Applicable
Ease of getting care
Ability to get an appointment
Hours of operation
Convenience of location
Prompt return on calls
Time in waiting room (saw physicican within 15 min of scheduled appointment time)
Time in exam room
Promptness in scheduling tests
Test results were shared on a timely basis
Listens to you
Takes enough time with you
Explains what you want to know
Gives you good advice and treatment
Friendly and helpful to you
Answers your questions
Payment: What you pay
Payment: Explanation of charge for services
Payment: Collection of payment/money
Facility is neat and clean
Ease of finding where to go
Comfort and Safety while waiting at Summit Facilities
Privacy
Keeping my personal information private
The likelihood of referring your friends and relatives to Summit:
12. Rate your satisfaction with your provider. *This question is required.
Worst (0)12Fair (3)4Ok (5)6Good (7)89Best (10)
0%
If you have concerns that you would like addressed, please contact the patient advocate at 651-968-5681.
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