Riverdale Family Medicine, P.A.
We would like to take this opportunity to thank you for allowing us to care for your medical needs. We take pride in our services and would like to know how you think we are doing. Please take a few minutes to complete this questionnaire.
1. Ease of scheduling an urgent appointment.
Poor
Excellent
2. Friendliness and courtesy of our front office staff.
Poor
Excellent
3. Friendliness and courtesy of our back office staff.
Poor
Excellent
4. Wait time in lobby.
Poor
Excellent
5. Wait time in exam room.
Poor
Excellent
6. Trust in provider to make decisions and recommendations that are in the best interest of the patient.
Poor
Excellent
7. How the provider listens and answers questions.
Poor
Excellent
8. Scheduling referrals in a timely manner.
Poor
Excellent
• We are happy to hear any additional comments that you would like to share with us.
Your answer
Your name and Email address - Optional
Your answer
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