Exit this survey Patient Satisfaction Questionaire 1. Patient Satisfaction Questionnaire for DeKalb Surgical Associates Question Title * 1. I saw the following physician: Michael Champney David Fern John Kennedy Andrei Stieber Question Title * 2. I was seen at the following office(s): DeKalb Medical, 2665 N Decatur Rd #730 Northside Hospital Suite 430, 980 Johnson Ferry Road Question Title * 3. Please rate each of the following about our staff: Excellent Very good Good Could have been better Poor Not applicable Ease of scheduling appointment Ease of scheduling appointment Excellent Ease of scheduling appointment Very good Ease of scheduling appointment Good Ease of scheduling appointment Could have been better Ease of scheduling appointment Poor Ease of scheduling appointment Not applicable Telephone courtesy and service Telephone courtesy and service Excellent Telephone courtesy and service Very good Telephone courtesy and service Good Telephone courtesy and service Could have been better Telephone courtesy and service Poor Telephone courtesy and service Not applicable Friendliness and helpfulness of receptionists and other front office staff Friendliness and helpfulness of receptionists and other front office staff Excellent Friendliness and helpfulness of receptionists and other front office staff Very good Friendliness and helpfulness of receptionists and other front office staff Good Friendliness and helpfulness of receptionists and other front office staff Could have been better Friendliness and helpfulness of receptionists and other front office staff Poor Friendliness and helpfulness of receptionists and other front office staff Not applicable Friendliness and helpfulness of nurses and other back office staff Friendliness and helpfulness of nurses and other back office staff Excellent Friendliness and helpfulness of nurses and other back office staff Very good Friendliness and helpfulness of nurses and other back office staff Good Friendliness and helpfulness of nurses and other back office staff Could have been better Friendliness and helpfulness of nurses and other back office staff Poor Friendliness and helpfulness of nurses and other back office staff Not applicable Question Title * 4. Please share with us your experience with your surgeon: Excellent Very good Good Could have been better Poor Wait time before being seen Wait time before being seen Excellent Wait time before being seen Very good Wait time before being seen Good Wait time before being seen Could have been better Wait time before being seen Poor Time spent with doctor and staff was sufficient for the problem I was here for Time spent with doctor and staff was sufficient for the problem I was here for Excellent Time spent with doctor and staff was sufficient for the problem I was here for Very good Time spent with doctor and staff was sufficient for the problem I was here for Good Time spent with doctor and staff was sufficient for the problem I was here for Could have been better Time spent with doctor and staff was sufficient for the problem I was here for Poor My questions and concerns were adequately addressed My questions and concerns were adequately addressed Excellent My questions and concerns were adequately addressed Very good My questions and concerns were adequately addressed Good My questions and concerns were adequately addressed Could have been better My questions and concerns were adequately addressed Poor The doctor seemed interested and concerned about me The doctor seemed interested and concerned about me Excellent The doctor seemed interested and concerned about me Very good The doctor seemed interested and concerned about me Good The doctor seemed interested and concerned about me Could have been better The doctor seemed interested and concerned about me Poor Question Title * 5. I would recommend your practice to a family member or friend Definitely Probably Maybe Probably not Definitely not Question Title * 6. Thank you very much for your time! If you have any comments, criticisms, suggestions, or questions, please just below: Done