Patient Satisfaction Survey

Question Title

* 1. How likely is it that you would recommend Warrior Square Surgery to a friend or family member?

Highly Unlikely

Highly Likely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 2. Overall, how satisfied or dissatisfied were you with your last visit to our surgery?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 3. How easy or difficult was it to schedule an appointment?

Very easy

Easy

Neither easy nor difficult

Difficult

Very difficult

Question Title

* 4. Overall, how would you rate the service you received from the staff at Warrior Square?

Excellent

Very good

Good

Fair

Poor

Question Title

* 5. Did your appointment start early, late or on time?

Early

On time

Late

Question Title

* 6. Overall, how would you rate the care you received from the clinician?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 7. How much do you trust the clinician to make medical decisions that are in your best interest?

A great deal

A lot

A moderate amount

A little

None at all

Question Title

* 8. How well did the clinician listen to your needs?

A great deal

A lot

A moderate amount

A little

None at all

Question Title

* 9. How well did the clinician answer your questions?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Question Title

* 10. How well did the clinician explain your treatment options?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Question Title

* 11. How well did the clinician explain your follow-up care?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Patient Satisfaction Survey

Question Title

* 1. How likely is it that you would recommend Warrior Square Surgery to a friend or family member?

Question Title

* 2. Overall, how satisfied or dissatisfied were you with your last visit to our surgery?

Question Title

* 3. How easy or difficult was it to schedule an appointment?

Question Title

* 4. Overall, how would you rate the service you received from the staff at Warrior Square?

Question Title

* 5. Did your appointment start early, late or on time?

Question Title

* 6. Overall, how would you rate the care you received from the clinician?

Question Title

* 7. How much do you trust the clinician to make medical decisions that are in your best interest?

Question Title

* 8. How well did the clinician listen to your needs?

Question Title

* 9. How well did the clinician answer your questions?

Question Title

* 10. How well did the clinician explain your treatment options?

Question Title

* 11. How well did the clinician explain your follow-up care?

Question Title

* 12. Is there anything we could have done to improve your last visit?