My doctor is/are:
OFFICE SERVICE:
Strongly Agree
Strongly Disagree
1. I am treated appropriately by the front office staff
2. I am treated appropriately on the phone
3. It is easy to reach the office on the telephone
4. It is easy to make an appointment with my doctor
5. The overall appearance of the staff is clean and professional
6. The overall appearance of the office is clean & professional
7. I know whom to talk to at the office if I have a complaint
MEDICAL CARE:
Strongly Agree
Strongly Disagree
8. I am treated appropriately by the nurses
9. I am treated appropriately by the doctors
10. The amount of time I wait to be seen by the doctor is reasonable
11. My doctor gives me enough time to discuss my health concerns
12. My doctor clearly explains any diagnosis/treatment needed
13. I feel my input is valued by my doctor
14. When tests/referrals are done I understand why
15. I am satisfied with the communication I get about test results
16. My doctor returns my phone calls in an appropriate manner
17. I am satisfied with the care I receive here
18. I would refer my friends and family here
The section below will help us to further analyze the results:
Number of years as a patient at Stamford Pediatrics:
Number of children in our family
Number of visits to the office in the past year
Comments/Feedback:
If there was one thing about Stamford Pediatrics you could change, what would it be?
Additional Comments:
THANK YOU SO MUCH FOR YOUR TIME AND INPUT!
