CRHG & Surgical Center Patient Satisfaction Survey
Dear Patient: Your opinion means a great deal to us and we care what you think. We want your experiences here to be the best they can. Please tell us your opinion about your experiences and the services you received. Your comments are appreciated and your input helps us to continue to improve.
Thank you!
Dr. Najmabadi & CRHG Administration

Rating scale 1 = SUPER 2= SATISFACTORY 3= PLEASE MAKE A SUGGESTION

Email address *
First & Last Name: *
Your answer
Email
Your answer
Ease of making an appointment: *
Super
Suggestion
Suggestions for improvement:
Your answer
The efficiency of the check-in process: *
Super
Suggestion
Suggestions for improvement:
Your answer
Was the waiting time prior to being seen reasonable: *
Super
Suggestion
Suggestions for improvement:
Your answer
Was the waiting time prior to being seen reasonable: *
Super
Suggestion
Suggestions for improvement:
Your answer
Was the waiting time prior to being seen reasonable: *
Super
Suggestion
Suggestions for improvement:
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms