Patient Survey

Thank you for entrusting your care to us. Please take a few minutes to tell us about your experience in our office. Your responses will be kept strictly confidential. Thank you in advance for your help.

Your Appointment
Ease of making appointments by phone*
Appointment available within a reasonable amount of time*
Getting care as soon as you wanted it*
Getting after hour care when you needed it*
The efficiency of the check in process*
Waiting time in the reception area*
Waiting time in the exam room*
Keeping you informed if your appointment time was delayed*
Ease of getting a referral when you needed one*
Our Staff
The courtesy of the person who took your call*
The friendliness and courtesy of the receptionist*
The caring concern of our nurses*
The helpfulness of the people assisting you with insurance*
The helpfulness of the person assisting you with payment arrangements*
OUR COMMUNICATION WITH YOU
Your phone calls answered promptly*
Getting advice or help when needed during office hours*
Explanation of your procedure (if applicable)*
Your test results reported in a reasonable amount of time*
Effectiveness of our health information materials*
Our ability to return your phone calls in a timely manner*
Your ability to contact us after hours*
Your ability to obtain prescription refills by phone*
YOUR VISIT WITH THE DOCTOR/NURSE PRACTITIONER
Willingness to listen carefully to you*
Taking time to answer your questions*
Amount of time spent with you*
Explaining things in a way you could understand*
Instructions regarding medication/follow-up care*
The thoroughness of the examination*
Advice given to you on ways to stay healthy*
OUR FACILITY
Hours of operation convenient for you*
Overall comfort*
Adequate parking*
Signage and directions easy to follow*
YOUR OVERALL SATISFACTION WITH:
Our practice*
The quality of your medical care*
Overall rating of care from your Doctor/Nurse Practitioner*
WOULD YOU RECOMMEND THE DOCTOR/NURSE PRACTITIONER TO OTHERS?*
- Yes
- No
Please tell us why:
Is there any way we can improve our services to you, please tell us about it:
May we contact you to discuss your answers?*
- Yes
- No
Name*
First Last
Phone*
Email*

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Clarksville OBGYN - Obstetrics and Gynecology Clarksville, TN

Clarksville OBGYN - Obstetrics and Gynecology Clarksville, TN

Patient Survey

Your Appointment

Our Staff

OUR COMMUNICATION WITH YOU

YOUR VISIT WITH THE DOCTOR/NURSE PRACTITIONER

OUR FACILITY

YOUR OVERALL SATISFACTION WITH: