Patient Satisfaction Survey
Naples Orthopedics is dedicated to providing the best care possible to each patient. In order to ensure that we are giving our patients the best care, we rely on patient feedback. Please take a few moments to complete this patient feedback form, so that we can ensure we are providing the best care. Thank you in advance. 
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How did you hear about Naples Orthopedics? *
Which provider did you see during your visit? *
In the following questions, please rate your experience.
Please use the scale: 1 - Strongly Disagree and 5 - Strongly Agree
Scheduling my appointment was quick and easy.  *
Strongly Disagree
Strongly Agree
If I had to leave a message when calling, it was responded to in a timely manner.  *
Strongly Disagree
Strongly Agree
The check in process was easy, and I waited in the waiting room a reasonable amount of time before getting called back.   *
Strongly Disagree
Strongly Agree
If I needed any medical records or paperwork filled, they were provided to me in a timely manner. 
Strongly Disagree
Strongly Agree
Clear selection
The front desk staff was welcoming and professional.  *
Strongly Disagree
Strongly Agree
The x-ray technician was friendly and professional.  *
Strongly Disagree
Strongly Agree
The medical assistants were friendly and professional.  *
Strongly Diagree
Strongly Agree
The provider listened to all my questions and concerns and responded with care.  *
Strongly Disagree
Strongly Agree
Did you schedule an appointment during the check out process? *
Rate your overall experience with Naples Orthopedics. *
Terrible
Amazing
Please explain your rating. 
Would you recommend Naples Orthopedics? *
Any additional comments/concerns. 
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