Customer Satisfaction Survey
Listening to customers has always been important to us. Your feedback will help us better serve people like you!
1.
How long have you been a patient of Anthem Pain Management?
Less than six months
Six months to a year
1 - 2 years
More than 2 years
I am not a patient
2.
Which of the following best describes the services have you received from Anthem Pain Management before? (Please select all that apply.)
Family Practice
Pain Management
IV Therapy
Weight Loss
Trigger Point Injections
Joint Injections
3.
Overall, how satisfied are you with Anthem Pain Management?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not satisfied at all
4.
How well does our patient care meet your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
5.
Overall, how would you rate the quality of our care?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
6.
How would you rate the care you recieve from Dr. Keith Sutton DNP?
Excellent
Above average
Average
Below average
Poor
7.
How responsive have we been to your questions or concerns?
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
Not applicable
8.
How likely are you to recommend Anthem Pain Management to family or friends?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
9.
How likely are you to continue receiving your healthcare from Anthem Pain Management?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
10.
Any comnments or concerns?