handsurg.com :: Hand Surgery Specialists, Inc.

Please take a few minutes to fill out this survey on the timeliness and quality of the service you received today. Hand Surgery Specialists welcomes your feedback and your answers will be kept confidential. We value your opinion and thank you in advance for your time.

1. Please rate each of the following statements using a 1 to 5 scale, 1 being "poor quality" and 5 being "excellent quality".
2. Receptionist answered your call courteously:
3. 1 2 3 4 5
4. Ease of using our automated phone system:
5. 1 2 3 4 5
6. Ease of getting the appointment time you wanted:
7. 1 2 3 4 5
8. Ease of locating our office:
9. 1 2 3 4 5
10. Upon arrival, you were greeted courteously:
11. 1 2 3 4 5
12. Your wait time to see a doctor was reasonable:
13. 1 2 3 4 5
14. Your time spent with the doctor was reasonable:
15. 1 2 3 4 5
16. You were treated courteously by clinical staff:
17. 1 2 3 4 5
18. Quality of medical care received from your doctor:
19. 1 2 3 4 5
20. Doctor listened, cared and fully explained treatment:
21. 1 2 3 4 5
22. Please rate your overall experience with our office this visit:
23. 1 2 3 4 5

Additional Information

1. Name of physician seen today:(required)
2. Comments:

 

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