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About Our Practice
Meet Our Staff
Services & Procedures
New Patient Forms
Contact
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Patient Portal
Home
About Our Practice
Meet Our Staff
Services & Procedures
New Patient Forms
Contact
Pay Online
Patient Portal
Patient Satisfaction Survey
Home
Patient Satisfaction Survey
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Fields marked with a * are required
Ease of getting care
Ability to get in to be seen
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Hours Office is open
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Convenience of Office’s location
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Prompt return on calls for appointments
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Prompt return on calls from nurses
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Waiting
Time in waiting room
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Time in exam room
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Waiting for tests to be performed
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Staff
Listens to you (Provider)
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Takes enough time with you (Provider)
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Explains what you want to know (Provider)
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Gives you good advice and treatment (Provider)
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Friendly and helpful to you (Nurses and Medical Assistants)
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Answers your questions (Nurses and Medical Assistants)
*
Friendly and helpful to you (Other Staff)
*
Payment
Ease of payment options
*
Explanation of charges
*
Promptness for correcting billing errors
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Collection of payment/money
*
Facility
Neat and clean building
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Ease of finding where to go
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Comfort and Safety
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Privacy
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Confidentiality
Keeping my personal information private
*
Let us know how you feel
Likelihood of referring friends/relatives
*
What do you like best about our office?
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What do you like least about our office?
*
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Suggestions for improvement?
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Just a simple question to make sure you're a real person!
What city is Vineville Internal Medicine in?
*