Adult Pediatric Urology & Urogynecology, P.C.

Patient Satisfaction Survey







  • We would like to know how you feel about the services we provide so we can make sure
    we are meeting your needs. Your responses are directly responsible for improving these
    services. All responses will be kept confidential and anonymous. Thank you for your
    time.

  • GREAT 5 GOOD 4 OK 3 FAIR 2 POOR 1
    Ease of getting care:
    Ability to get in to be seen
    Hours clinic is open
    Prompt return on calls
    Waiting:
    Time in waiting room
    Time in exam room
    Waiting for test results
    Staff:
    Provider: (Physician, Physician Assistant, Nurse Practitioner)
    Listens to you
    Takes enough time with you
    Explains what you want to know
    Gives good advice and treatment
    Nurses and Medical Assistants
    Friendly and helpful to you
    Answers your questions
    All other staff:
    Friendly and helpful to you
    Answers your questions
    Confidentiality:
    Keeping my personal information private
    Referral:
    The likelihood of referring your friends and relatives to us


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