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Patient Feedback
We at CBCAZ are always looking to improve our services so our patients have the best possible care. We would love to hear your thoughts or feedback on how we can improve your experience!
*Please note, this survey is anonymous. If you would like us to follow up with you, please provide your name and contact information in the last question.
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* Indicates required question
My healthcare provider is:
*
Dr. Janice Angeles
Dr. Christi Bourne
Dr. Kimberli Cox
Dr. John Davis
Dr. Ashley DiPasquale
Dr. Sommer Gunia
Dr. Brenda Moorthy
Dr. Shelley Nakamura
Dr. Noemi Sigalove
Dr. Odette Solís
Dr. Victor Zannis
Heather Anderson, MSN, FNP, OCNP
Stephanie Herrick-Kays, EdD, MSN, FNP-C
Nicole Safer, PA-C
Haeley Johnson, PA-C
Perry Brazel, PA-C
Other:
How did you find out about CBCA?
*
Referral from another physician
Friend or family member
Internet search
Other:
How easy was it for you to book your first appointment?
*
Not easy at all
1
2
3
4
5
Very easy
How easy is it to communicate with our offices?
*
Not easy at all
1
2
3
4
5
Very easy
Do you feel your questions/needs are addressed in a timely manner?
Yes
No
Sometimes
Clear selection
Is there anything we can do to improve your experience as a patient at CBCA?
Your answer
If you would like us to contact you to follow up, please leave your name and contact information below.
Your answer
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