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Idaho Pain Clinic Post-Visit Patient Satisfaction
*
1.
Which location were you seen at?
(Required.)
Sandpoint
Lewiston
Post Falls
2.
How was your experience with the appointment process?
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
Appointment available within a reasonable amount of time
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
The efficiency of the check-in process
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
Waiting time in the reception area
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
Waiting time in the exam room
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
Answering phone calls during business hours
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
Returning your messages
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
Helping you with your next appointment
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
3.
How was your experience with our staff?
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
The friendliness and courtesy of the receptionist
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
The caring concern of our nurses/medical assistants
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
The helpfulness of the people who assisted you with billing or insurance
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
N/A
*
4.
Which provider did you see?
(Required.)
Sorin Ispirescu, M.D.
Leslie Rogers, NP-C
Matthew Hansen, PA-C
Amber Farance, PA-C
Graham Andrews, FNP-C
5.
Did your appointment with your provider start early, late or on time?
Very early
Somewhat early
On time
Somewhat late
Very late
6.
How was your experience with the provider?
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
Listening to your concerns, questions, comments
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
Receiving a clear explanation of treatment options and follow-up care
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
Spent sufficient amount of time during your visit
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
Advice given to you on ways to stay healthy
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
Overall, how satisfied are you with the care you received
Very Satisfied
Satisfied
Average
Dissatisfied
Very Dissatisfied
*
7.
On a scale of 0 to 10,
How likely is it that you would recommend our clinic to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
8.
Is there anything we could have done to improve your last visit?
9.
Are there new services that you would like to see us add?
Current Progress,
0 of 10 answered