Florida Neurology, P.A.
PATIENT SATISFACTION SURVEY

We would like to know your opinion on the services provided to you so that we may ensure that we are sufficiently meeting all of your needs. Your responses will be directly utilized to improve these services. All responses will be kept confidential and anonymous. Thank you for your time!

Gender:
Age:
Please indicate how well you feel we performed in the following areas:
Ease of Access to Care:
GREAT
GOOD
OKAY
FAIR
POOR
Scheduling a timely appointment
Scheduling an appointment when sick
Hours of operation
Convenience of location
Prompt return of phone calls
Wait Time:
GREAT
GOOD
OKAY
FAIR
POOR
In waiting room
In exam room
For tests to be performed
For test results
Office:
GREAT
GOOD
OKAY
FAIR
POOR
Clean, neat, and orderly
Ease of finding location
Comfort & safety during wait
Our Providers:
Physician or Physician Assistant:
GREAT
GOOD
OKAY
FAIR
POOR
Listened attentively to your concerns
Spent sufficient time with you
Answered all of your questions
Gave sound advice & appropriate treatment
Overall bedside manner
Nurses and Medical Assistants:
GREAT
GOOD
OKAY
FAIR
POOR
Friendly & helpful
Answered your questions
Staff:
GREAT
GOOD
OKAY
FAIR
POOR
Courtesy of the person who took your call
Friendliness and courtesy of the receptionist
Helpfulness of staff that assisted with your billing or insurance
Referrals
GREAT
GOOD
OKAY
FAIR
POOR
Likelihood of referring friends or family to Florida Neurology
Do you utilize Florida Neurology as your regular source of care?
What do you like best about our practice?
Your answer
What do you like least about our practice?
Your answer
Do you have any suggestions for improvement?
Your answer
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