Patient Satisfaction Survey (created 11/1/24)

Maitree Family Medicine

Please help Dr. Mones and his assistant improve by giving us feedback. This survey will be requested about every 6 months so we can respond better to your needs.

Question Title

* 1. How satisfied are you with the overall care you receive at Dr. Mones' practice?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Question Title

* 2. How would you rate the friendliness and professionalism at the front desk?

Excellent

Good

Average

Below average

Poor

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* 3. How satisfied are you with the assistance provided by Rikki at our office?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Question Title

* 4. How would you rate our phone system and voicemail?

Excellent

Very good

average

worse than average

terrible/disappointing

Question Title

* 5. How accessible in general do you find our office?

Extremely Accessible

Very accessible

fairly accessible

below average accessibility

Not accessible at all

Question Title

* 6. How accessible is Dr. Mones?

Extremely Accessible

Very accessible

fairly accessible

below average accessibility

Not accessible at all

Question Title

* 7. How would you rate the communication skills of Dr. Mones?

Excellent

Good

Average

Below average

Poor

Question Title

* 8. How well did Dr. Mones explain your diagnosis and treatment options?

Extremely well

Very well

Moderately well

Slightly well

Not at all

Question Title

* 9. Do you have any suggestions for what can be improved?

Question Title

* 10. When was your last visit at the practice?

very recently (less than 1 month)

1-6 months ago

More than 6 months ago

so long ago I can't remember. (Hmmm, I now realize I need to see my Doctor!)