Rating: 1 to 5 stars
1 (not satisfied) - 5 (very satisfied)
1. Did you feel the Office Staff was confident and understood your concerns?
2. Did they help by answering your questions?
3. Did you feel the Business Office staff was organized and met your needs?
4. Was the Business Office staff prompt and friendly?
5. Did the Medical Assistant thoroughly review your instructions and answer your questions?
6. Did the Medical Assistant greet you in a courteous and friendly manner?

7.

 Was the Provider patient, empathetic and compassionate?
8. Did the Provider thoroughly address your questions and concerns?
9. Did the Front Desk staff greet you in a courteous manner?
10. Was the Front Desk staff helpful in checking you in and out while scheduling your next appointment?
11. Did the Front Desk staff continually check your status while waiting to be seen and keep you updated on the wait time?
12. Did the waiting area reflect a warm and inviting place full of care and detail?
13. Would you return to our office for future treatment? Yes
No
14. Would you refer a friend to our office in the future? Yes
No
Name:  
E-mail:  
Your Doctor: Dr. Craig Dr. Behera  
Your Comments:
  

 
 
 
 
 
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