Help us provide you with the best care possible by circling the appropriate answer below:
1) Who is the Provider you typically see?
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Dr. Rowland, MD
Carlos Suero, MHS, PA-C
2) Please rate the length of time it took you to make your appointment:
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Excellent
Very Good
Good
Fair
3) Please rate the ease, speed and convenience of the check-in process:
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Excellent
Very Good
Good
Fair
4) Please rate the friendliness of staff at check in:
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Extremely Friendly
Friendly
Average
Poor
5) Rate your satisfaction with the length of time you spent in the waiting room after your check in:
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Extremely Satisfied
Satisfied
Dissatisfied
6) Rate the helpfulness and knowledge of nursing staff:
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Extremely Helpful
Helpful (average)
Poor
7) How would you rate the amount of time you spent with the doctor?
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Excellent
Very Good
Fair
Poor
8) Did you receive the help you expected from today’s visit?
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Yes
No
If not: please explain below
Any suggestions on how we could improve our service in the future?