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Patient Satisfaction Questionnaire

Superior FHT is interested in your opinion on the care and service we provide.  Please take a few minutes to complete this questionnaire.

Think about this visit.

3. Care Provider seen:
4. How would you rate your satisfaction with getting through to the office by phone?
              
5. How would you rate your satisfaction with the length of time you waited to get your appointment today?
              
6. Did you see the clinician or staff member that you wanted to see today?
Yes No
7. How would you rate your satisfaction with the personal manner of the person you saw today (courtesy, respect, sensitivity, friendliness)?
              
8. How would you rate your satisfaction with the time spent with the person you saw today?
              
9. Were you encouraged to ask questions by anyone in the office?
Yes No
10. Are you as involved as you want to be in decisions related to your care?
Yes No
11. How would you rate your satisfaction with the personal manner of the staff (nurses, receptionist, students) you saw today (courtesy, respect, sensitivity, friendliness)?
              
12. Were your needs and expectations met and addressed today?
Yes No
13. Do you have any other comments?
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