Texas Ear, Nose & Throat Specialists Patient Satisfaction Survey
Please take a few minutes to fill out this survey on the quality of service you received before and during your visit. Your answers will be kept confidential.
Office Staff were helpful and treated you with courtesy and respect?
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Promptness of phone call-back from our office during working hours
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Promptness of phone call-back from on-call doctor after hours
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The ease of your call being answered by a staff person when you called for an appointment or other service
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Satisfaction with the length of time between the day the appointment was made and the day of the visit
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Overall satisfaction with your wait time from time of arrival until seen by a doctor
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Did the provider spend enough time with you?
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Did the provider explain things in a way that was easy to understand?
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Did the provider listen carefully to you?
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Did the provider give you easy to understand information about your health questions or concerns?
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Did the provider seem to know important information about your medical history?
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Did the provider show respect for what you had to say?
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Using any number from 10 to 0, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? (10 to 0)
Worst provider possible
Best provider possible
Clear selection
Overall satisfaction with your most recent visit
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Overall satisfaction with surgery scheduling and quotes
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Overall satisfaction with place of surgery (i.e. surgery center, hospital)
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Likelihood of recommending this practice to others
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Convenience of office hours
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Which location were you seen?
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Which provider did you see?
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Please provide any additional comments or suggestions to allow us to assist you better.
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