Phone: 407-282-3131

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Customer Survey

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Please Complete Our Survey


1. The convenience and accessibility of the office Location. (Consider if the office is easy to find, is there adequate parking, is handicapped entrance adequate, etc.)

EXCELLENT GOOD FAIR POOR

 

2. The comfort and cleanliness of the reception area.

EXCELLENT GOOD FAIR POOR

 

3. The comfort and cleanliness of the examining rooms.

EXCELLENT GOOD FAIR POOR

 

4. The promptness in which our telephones are answered, and the courtesy of the staff answering your call.

EXCELLENT GOOD FAIR POOR

 

5. The accessibility of scheduling an appointment within 2 business days.

EXCELLENT GOOD FAIR POOR

 

6. The courtesy and promptness of the front office staff.

EXCELLENT GOOD FAIR POOR

 

7. The courtesy and promptness of the medical assistants.

EXCELLENT GOOD FAIR POOR

 

8. The promptness and courtesy of your physician.

EXCELLENT GOOD FAIR POOR

 

9. The quality of care you received by your physician.

EXCELLENT GOOD FAIR POOR

 

10. The privacy of the physician’s consultation room.

EXCELLENT GOOD FAIR POOR

 

11. Overall how would you rate your experience?

EXCELLENT GOOD FAIR POOR

 

12. Do you have any suggestions for improvement?

 

Type the security word care and click Submit.

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