Patient Satisfaction Survey
The Basics
Tell us a little bit about yourself and your relationship with the practice.
How long have you been a patient of Parkview? *
What office location(s) do you visit most often? *
Required
Which provider(s) do you see at Parkview? *
Required
In the last 12 months, approximately how many times have you visited Parkview? *
What is your gender? *
What is your age? *
Patient Satisfaction
Please rate your agreement with the following statements.
Telephone communications with Parkview staff are positive and I always feel that they are trying to accommodate my needs. *
Strongly disagree
Strongly agree
Comments:
Your answer
It is generally easy to schedule appointments within a reasonable time frame. *
Strongly disagree
Strongly agree
Comments:
Your answer
The appointment times that are typically available for my provider are times that are convenient for me. *
Strongly disagree
Strongly agree
Comments:
Your answer
The front desk staff at Parkview is welcoming and helpful, and always treats me with courtesy and respect. *
Strongly disagree
Strongly agree
Comments:
Your answer
Between the waiting room and the exam room, I spend a reasonable amount of time waiting for my provider. *
Strongly disagree
Strongly agree
Comments:
Your answer
When I need clinical assistance, the Parkview nursing staff is easy to reach and helpful in providing the support I need. *
Strongly disagree
Strongly agree
Comments:
Your answer
My provider listens carefully to me and my needs. *
Strongly disagree
Strongly agree
Comments:
Your answer
My provider explains my diagnosis, treatment options and follow-up care in a way that is easy to understand. *
Strongly disagree
Strongly agree
Comments:
Your answer
My provider spends enough time with me and ensures that all my questions are answered to my satisfaction. I do not feel rushed when I see my provider. *
Strongly disagree
Strongly agree
Comments:
Your answer
Final Thoughts
Please take a moment to share your overall thoughts on Parkview Orthopaedic Group.
How likely is it that you would recommend Parkview to a friend or family member? *
Not likely at all
Extremely likely
Overall, how would you rate the service you receive from the staff at our office? *
Poor
Excellent
Please share a few words about your experiences at Parkview. Positive or negative, we'd love to hear what you think of us.
Your answer
Are there any other medical services you would like to be available to you at Parkview?
Your answer
If there is anything we can do to improve your satisfaction, please explain below.
Your answer
Check the "yes" box below if you would like to authorize Parkview Orthopaedic Group to use any of your written responses on our website or other promotional materials. *
Required
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