Patient Satisfaction Survey « Athens Gastroenterology

Patient Name*

Email Address*

In general, how would you rate our facility?*

How would you rate the treatment of care from your physician or midlevel?*

How would you rate the personnel in regards to being courteous, knowledgeable, and responsive to your needs?*

How would you rate the physician or midlevel answering all your questions, and explaining any procedures or treatments for your care?*

Do you feel that an appropriate amount of time was spent with you during the office visit?*

If you were scheduled for a procedure or test, how clear and easy were the preparation instructions to follow?*

How likely are you to recommend Athens Gastroenterology Association to others?*

Comments & Suggestions

Patient Satisfaction Survey