Patient Satisfaction Survey PLEASE RATE THE FOLLOWING: Question Title * 1. Ease of making appointment. Excellent Very Good Good Fair Poor N/A Question Title * 2. Appointment available within a reasonable amount of time. Excellent Very Good Good Fair Poor N/A Question Title * 3. Waiting time before seeing the doctor. Excellent Very Good Good Fair Poor N/A Question Title * 4. The friendliness and courtesy of the receptionist and check out personnel. Excellent Very Good Good Fair Poor N/A Question Title * 5. The friendliness, courtesy and professionalism of the nurses and doctors who cared for you. Excellent Very Good Good Fair Poor N/A Question Title * 6. The helpfulness of the people who assisted you with billing or insurance. Excellent Very Good Good Fair Poor N/A Question Title * 7. The ability of our phone nurse to answer your questions in an appropriate and timely manner. Excellent Very Good Good Fair Poor N/A Question Title * 8. Our ability to provide clearcut verbal and/or written instructions regarding medications and/or follow-up care. Excellent Very Good Good Fair Poor N/A Question Title * 9. Please let us know which physician provided care for you. Dr. Hladik Dr. Hasenstein Question Title * 10. Would you recommend our practice to others? Yes No If no, please tell us why Done