Scott City Medical Clinic Patient Experience Feedback Survey
Dear Patient: According to our records, you recently visited us at Scott City Medical Clinic. Please tell us your opinion about the service you received from your provider here. Your responses will be kept strictly confidential and are solely used to improve our experience for patients in the future. Thanks for your help.
Your Appointment...
Does Not Apply
Poor
Fair
Good
Very Good
Excellent
Ease of making appointments by phone
Appointment available within a reasonable amount of time
Getting care for illness/injury as soon as you wanted it
The efficiency of the check-in process
Waiting time in the reception area
Waiting time in the exam room
Keeping you informed if your appointment time was delayed
Ease of getting a referral when you needed one
Our Staff...
Does Not Apply
Poor
Fair
Good
Very Good
Excellent
The courtesy of the person who took your call
The friendliness and courtesy of the receptionist
The caring concern of our nurses/medical assistants
The helpfulness of the people who assisted you
The professionalism of our lab or x-ray staff
Our Communication With You...
Does Not Apply
Poor
Fair
Good
Very Good
Excellent
Your phone calls answered promptly
Getting advice or help when needed during office hours
Explanation of your procedure (if applicable)
Your test results reported in a reasonable amount of time
Effectiveness of our health information materials
Our ability to return your calls in a timely manner
Your ability to contact us after hours
Your ability to obtain prescription refills by phone
Your Visit With the Provider (Doctor, Nurse Practitioner)....
Does Not Apply
Poor
Fair
Good
Very Good
Excellent
Willingness to listen carefully to you
Taking time to answer your questions
Amount of time spent with you
Explaining things in a way you could understand
Instructions regarding medication/follow-up care
The thoroughness of the examination
Advice given to you on ways to stay healthy
Which Provider Were You Seen By? *
Our Facility...
Does Not Apply
Poor
Fair
Good
Very Good
Excellent
Hours of operation convenient for you
Overall comfort
Adequate parking
Signage and directions easy to follow
Your Overall Satisfaction With...
Does Not Apply
Poor
Fair
Good
Very Good
Excellent
Our practice
The quality of your medical care
Overall rating of care from your provider or nurse
Would You Recommend The Provider To Others?
Please Us Why or Why Not...
Your answer
Is There Anything We Can Improve On?
Your answer
Some General Information About You
This is all optional info that can better help us serve customers like you in the future.
Your Gender
Your Age
Are You a New Patient?
When Were You Last Here (If Returning)?
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