We appreciate your choosing our practice to provide your healthcare. Your comments regarding your most recent visit are also important to us, and we seek to provide you with the level of service you desire and deserve. Please take a moment to complete the following questions.
Overall, how would you rate your visit?
--- Choose Below ---
Excellent
Above Average
Average
Below Average
Poor
Please indicate which doctor you saw during your visit.
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Lilly S. Filler, M.D.
Sharon I. Eden, M.D.
Jennifer M. Risinger, M.D.
Lauren J. Painter, M.D.
Kimberlee T. Goode, M.D.
Jennifer Linfert, M.D.
Janice L. Coleman, M.D.
Maternity Care Coordinator
How would you rate the length of time it took to get an appointment in our practice?
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Excellent
Above Average
Average
Below Average
Poor
Please rate the friendliness of the reception staff?
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Excellent
Above Average
Average
Below Average
Poor
How long did you wait in our reception area before seeing a medical assistant?
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0-10 Minutes
10-15 Minutes
15-20 Minutes
20-30 Minutes
Greater than 30 Minutes
Please rate the friendliness and professionalism of the clinical staff?
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Excellent
Above Average
Average
Below Average
Poor
Please rate the friendliness and professionalism of the physician(s)?
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Excellent
Above Average
Average
Below Average
Poor
How long did you wait in the exam room before being seen by a physician?
--- Choose Below ---
0-10 Minutes
10-15 Minutes
15-20 Minutes
20-30 Minutes
Greater than 30 Minutes
Would you recommend our practice to your friends and family?
--- Choose Below ---
Yes, without reservation
Yes, but with reservation
No
Is there anyone in our practice that you would like to give a special thanks?
Are there any suggestions you would make to help us improve our practice?
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