Patient Survey



 


Patient Satisfaction Survey

Dear Patient:

We appreciate your business. CORE Orthopaedic Medical Center is dedicated to providing our patients with the highest quality of care. Your opinion matters to us, and we value any suggestions and/or comments that will enable us to better serve you. Thank you for your continued confidence in our physicians and services. Please complete the following survey.

1) Which provider did you see today?


2) Was this your first visit to our office?
Yes
No

3) How did you hear about us?


4) Did you find our office location convenient?
Yes
No

5) Do we have adequate parking?
Yes
No

6) Please rate the appearance of our waiting room.
Excellent
Good
Fair
Poor
Unacceptable

7) Does our appointment scheduler answer your calls in a timely manner?
All of the time
Most of the time
Some of the time
Not all of the time
Never

8) Are you able to schedule an appointment in a timely manner?
All of the time
Most of the time
Some of the time
Not all of the time
Never

9) Do you find the front desk staff to be courteous and helpful?
All of the time
Most of the time
Some of the time
Not all of the time
Never

10) Do you have to wait an extended period of time upon arrival at our office to see your physician?
All of the time
Most of the time
Some of the time
Not all of the time
Never

11) Is the nursing staff responsive and courteous to your needs?
All of the time
Most of the time
Some of the time
Not all of the time
Never

12) Is the X-Ray staff courteous and responsive to your needs?
All of the time
Most of the time
Some of the time
Not all of the time
Never

13) Does your physician treat you with dignity and respect?
All of the time
Most of the time
Some of the time
Not all of the time
Never

14) Does your physician carefully explain diagnosis, treatment, and follow-up instructions to you?
All of the time
Most of the time
Some of the time
Not all of the time
Never

15) Does your physician spend adequate time with you during your visit?
All of the time
Most of the time
Some of the time
Not all of the time
Never

16) Does our business office properly assist you in handling payment of your account?
All of the time
Most of the time
Some of the time
Not all of the time
Never

17) Has our business office representative been professional and courteous in handling payment of your account?
All of the time
Most of the time
Some of the time
Not all of the time
Never

18) Do you believe you receive the highest quality of care from your physician?
All of the time
Most of the time
Some of the time
Not all of the time
Never

19) How would you rate your overall experience and quality of care provided by our practice?
Excellent
Good
Fair
Poor
Unacceptable

20) Would you recommend our practice to your family and friends?
Yes
No

21) Do you have any recommendations on how we might serve you better?


Additional comments:


Optional information:
Name:

Address:

Phone:


May we contact you?
Yes
No

Thank you for your time.
 
   
 
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CORE Orthopaedic Medical Center 332 Santa Fe Drive Suite 110   Encinitas CA (North San Diego) 92024 877-777-2673 760-943-6700
A medical center that offers specialty trained orthopedic surgeons, doctors, occupational therapy, rehabilitation services and accupuncture in San Diego, California.