Patient Satisfaction Survey 08-2018

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. All responses will be kept confidential and anonymous.

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* 1. Who is your primary care provider?

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* 2. For each statement or question please identify the answer that best describes your experience of care during the past twelve months at Biltmore Medical Associates.

	Always	Usually	Sometimes	Never
When I call to get an appointment. I am able to get an appointment as soon as I feel I need one	When I call to get an appointment. I am able to get an appointment as soon as I feel I need one Always	When I call to get an appointment. I am able to get an appointment as soon as I feel I need one Usually	When I call to get an appointment. I am able to get an appointment as soon as I feel I need one Sometimes	When I call to get an appointment. I am able to get an appointment as soon as I feel I need one Never
When I call the office during office hours, I get an answer to my medical question that same day.	When I call the office during office hours, I get an answer to my medical question that same day. Always	When I call the office during office hours, I get an answer to my medical question that same day. Usually	When I call the office during office hours, I get an answer to my medical question that same day. Sometimes	When I call the office during office hours, I get an answer to my medical question that same day. Never
When I call the office after office hours, I get an answer to my medical question as soon as I need it.	When I call the office after office hours, I get an answer to my medical question as soon as I need it. Always	When I call the office after office hours, I get an answer to my medical question as soon as I need it. Usually	When I call the office after office hours, I get an answer to my medical question as soon as I need it. Sometimes	When I call the office after office hours, I get an answer to my medical question as soon as I need it. Never
My provider listens to my concerns and questions.	My provider listens to my concerns and questions. Always	My provider listens to my concerns and questions. Usually	My provider listens to my concerns and questions. Sometimes	My provider listens to my concerns and questions. Never
My provider gives me easy to understand instructions about how to take care of my health problems or concerns.	My provider gives me easy to understand instructions about how to take care of my health problems or concerns. Always	My provider gives me easy to understand instructions about how to take care of my health problems or concerns. Usually	My provider gives me easy to understand instructions about how to take care of my health problems or concerns. Sometimes	My provider gives me easy to understand instructions about how to take care of my health problems or concerns. Never
I believe that my provider and the office staff have a commitment to provide the quality care and supports that I need.	I believe that my provider and the office staff have a commitment to provide the quality care and supports that I need. Always	I believe that my provider and the office staff have a commitment to provide the quality care and supports that I need. Usually	I believe that my provider and the office staff have a commitment to provide the quality care and supports that I need. Sometimes	I believe that my provider and the office staff have a commitment to provide the quality care and supports that I need. Never
The nurses, receptionists, lab technicians and other staff treat me with respect and care.	The nurses, receptionists, lab technicians and other staff treat me with respect and care. Always	The nurses, receptionists, lab technicians and other staff treat me with respect and care. Usually	The nurses, receptionists, lab technicians and other staff treat me with respect and care. Sometimes	The nurses, receptionists, lab technicians and other staff treat me with respect and care. Never
When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results.	When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results. Always	When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results. Usually	When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results. Sometimes	When my provider orders blood tests, x-rays, other tests, someone from the office follows up to give me the results. Never
My provider communicates with other health professionals about my care (such as specialists, therapists).	My provider communicates with other health professionals about my care (such as specialists, therapists). Always	My provider communicates with other health professionals about my care (such as specialists, therapists). Usually	My provider communicates with other health professionals about my care (such as specialists, therapists). Sometimes	My provider communicates with other health professionals about my care (such as specialists, therapists). Never
When my provider orders a referral to another office, I am contacted for an appointment in a timely manner	When my provider orders a referral to another office, I am contacted for an appointment in a timely manner Always	When my provider orders a referral to another office, I am contacted for an appointment in a timely manner Usually	When my provider orders a referral to another office, I am contacted for an appointment in a timely manner Sometimes	When my provider orders a referral to another office, I am contacted for an appointment in a timely manner Never
How often did someone in the practice talk with you about specific goals for your health?	How often did someone in the practice talk with you about specific goals for your health? Always	How often did someone in the practice talk with you about specific goals for your health? Usually	How often did someone in the practice talk with you about specific goals for your health? Sometimes	How often did someone in the practice talk with you about specific goals for your health? Never
How often did someone in the practice ask you if there are things that make it hard for you to take care of your health?	How often did someone in the practice ask you if there are things that make it hard for you to take care of your health? Always	How often did someone in the practice ask you if there are things that make it hard for you to take care of your health? Usually	How often did someone in the practice ask you if there are things that make it hard for you to take care of your health? Sometimes	How often did someone in the practice ask you if there are things that make it hard for you to take care of your health? Never

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* 3. For each statement or question please identify the answer that best describes your experience of care during the past twelve months at Biltmore Medical Associates.

	Excellent	Very Good	Good	Fair	Poor
How acceptable is the wait time in the office?	How acceptable is the wait time in the office? Excellent	How acceptable is the wait time in the office? Very Good	How acceptable is the wait time in the office? Good	How acceptable is the wait time in the office? Fair	How acceptable is the wait time in the office? Poor
How acceptable is the time the provider spends with you?	How acceptable is the time the provider spends with you? Excellent	How acceptable is the time the provider spends with you? Very Good	How acceptable is the time the provider spends with you? Good	How acceptable is the time the provider spends with you? Fair	How acceptable is the time the provider spends with you? Poor

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* 4. How likely are you to recommend this office to your family and friends?

Very Likely

Somewhat Likely

Likely

Not So Likely

Not At All

Very Likely

Somewhat Likely

Likely

Not So Likely

Not At All

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* 5. What is your gender?

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* 6. What is your age?

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* 7. What is your ethnicity?

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* 8. What is the highest degree or level of school you have completed?

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* 9. Please tell us anything we do well and how we can improve the care and services we offer. Thank you for your time and feedback!