PATIENT SATISFACTION SURVEY
We would like to know how you feel about the services we provide so we can make sure are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time. ( Please scroll down to submit survey).
Select Your RGV ADULT & GERIATRIC MEDICINE CLINIC LOCATION *
Your Age *
Gender *
Your Race / Ethnicity *
Who is your Health Care Provider? *
Ability to get in to be seen? *
Required
Clinic Hours *
Required
Convenience of Clinic's location *
Required
Prompt return on calls *
Required
Time in Waiting Room *
Required
Time in Exam Room *
Required
Waiting for Tests to be performed *
Required
Waiting for Test Results *
Required
How do you feel your PCP listens to you? *
Required
Do you feel your PCP takes enough time with you? *
Required
Does your doctor give you good advise and treatment? *
Poor
Great
Does your doctor Explain what you want to know? *
Poor
Great
Is the staff friendly and helpful to you? *
Poor
Great
Do Staff members help answer questions you may have?
Great
Poor
Clear selection
How do you feel about what you pay? *
Explanation of Charges
Poor
Great
Clear selection
Collection of payment / Money *
Poor
Great
Neatness and Cleanliness of clinic *
Poor
Great
Ease of finding where to go *
Poor
Great
Comfort and Safety while waiting *
Poor
Great
How do we protect your privacy?
Poor
Great
Clear selection
Do you consider us to be your regular source of care *
What do you like best about our practice?
What do you like least about our practice? *
Give us your suggestion for improvement *
answer calls faster, etc
Would you recommend our services with your circle of friends or relatives? *
Submit
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