Rate Our Care

Please let us know how we are doing in providing you quality healthcare. We are constantly looking for ways to better serve you and greatly appreciate your feedback.

 

Office & Staff

Which site did you visit (required)?

Please rate the following:

Ease of scheduling urgent appointments (1=very hard; 5=very easy)
 1 2 3 4 5

Office environment, cleanliness, comfort, etc. (1=poor; 5=excellent)
 1 2 3 4 5

Staff friendliness and courteousness (1=very rude; 5=very polite)
 1 2 3 4 5

Total wait time in waiting & exam rooms (in minutes)
 1-15 16-30 31-45 46-60 60 or more

Experience with Provider

Which provider(s) did you see (required)? (press CTRL to select more than one)

Which services were provided (required)? (press CTRL to select more than one)

If you selected Other, please specify:

Please rate the following:

Level of trust in provider's decisions (1=low; 5=high)

 1 2 3 4 5

How well provider explains medical condition(s) (1=poor; 5=excellent)

 1 2 3 4 5

How well provider listens and answers questions (1=poor; 5=excellent)

 1 2 3 4 5

Spends appropriate amount of time with patients (1=strongly disagrees; 5=strongly agrees)

 1 2 3 4 5

Likelihood of recommending provider to family and friends (1=very unlikely; 5=very likely)

 1 2 3 4 5

Comments/Suggestions

Name (optional)

Email (optional)

Enter two digits (example: 12) (required)