How good was reception staff today at each of the following

  Poor Less than satisfactory Satisfactory Good Very good Does not apply
Being Polite
Making you feel at ease
Listening to you
Provided complete and correct information
Insurance coverage was explained before consultation
Able to get the apointment as per your convenience

Consultation

  Strongly disagree Disagree Nuetral Agree Strongly agree Does not apply
Doctor listened carefullly to my symptoms and asked questions regarding my health history
Doctor discussed treatment options with you including expected course of treatment
Doctor encouraged you to ask questions about your treatment and answered to your satisfaction
Nursing staff was helpful and pleasing
I would be completely happy to see this doctor again yes no

Others

  Poor Less than satisfactory Satisfactory Good Very good Does not apply
Clinic location is convenient
Parking was convenient
Listening to you
Clarity on billing procedures and statements were good
Overall quality of services rendered was satisfactory

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