Patient Satisfaction Survey

We want to be sure we are doing everything we can to serve you.  Please take a minute to fill out this confidential survey.  Just let us know what we are doing well and what we can do better.

Thank you.

 

Your Physician: Your Location: Plaza  Lee's Summit


1. Please indicate your level of satisfaction with the following items related to your office appointment. If an item is not related to your care, choose N/A.
  Very Dissatisfied  > Neutral  > Very Satisfied  >  N/A
Ease of getting through to the office by phone.
The time between contacting our office, via phone or e-mail, and getting a call back.
The time between your call to schedule an appointment and your appointment time.
Your wait time in the waiting room.
Your wait time in the examining room.
Convenience of our office hours.
The time you spend with your Physician.
2. Please rate the following items related to the delivery of your care. If an item is not related to your care, choose N/A.
Physicians Poor     >      Neutral     >      Excellent      >        N/A
His/Her personal manner (courtesy, respect, sensitivity, friendliness).
His/Her willingness and ability to answer your questions.
Your Physician's listening skills.
His/Her explanation of diagnoses and treatment plan.
Staff Poor     >      Neutral     >      Excellent      >        N/A
The quality of advice given on the phone.
The professionalism and helpfulness of our receptionist.
Our staff's personal manner (courtesy, respect, sensitivity, friendliness).
Our staff's interaction with your child.
Efficiency of the check-in / check-out process.
3. What do you like best about our practice?
4. What changes would you like to see us make to improve our service to you?
5. Any Additional Comments?