Midwest Cornea Associates Patient Satisfaction Survey
We would like to ask you about your experience with our office. Thank you for helping us continue to improve the care we provide for our patients.
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1.
Overall, how easy do you find it to schedule appointments?
Extremely easy
Very easy
Somewhat easy
Not so easy
Not at all easy
2.
Did your appointment start early, late or on time?
More than 15 minutes early
Less than 15 minutes early
On time
Less than 15 minutes late
More than 15 minutes late
3.
Overall, how would you rate the service you received at the reception area of our office?
Excellent
Very good
Good
Fair
Poor
4.
During your most recent visit, did the medical assistants and technicians at your healthcare provider’s exam areas treat you with courtesy and respect?
Yes, definitely
Yes, somewhat
No
5.
How would you rate the accuracy and timeliness our billing department?
1 Star
1 star
2 Stars
2 stars
3 Stars
3 stars
4 Stars
4 stars
5 Stars
5 stars
6.
How satisfied are you with the cleanliness and appearance of our facility?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not satisfied at all
7.
Who was your provider?
Stephen Johnson M.D.
Jennifer Nottage M.D.
8.
How well did your provider explain your diagnosis and treatment?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
9.
How well did you respond to your provider's treatment?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
No treatment was required
10.
How likely is it that you would recommend our office to a friend or family member?
Not likely
Somewhat unlikely
Not sure
Somewhat likely
Very likely
Not likely
Somewhat unlikely
Not sure
Somewhat likely
Very likely
How can we improve?
You can leave a message here or at 317 817 1765.
Current Progress,
0 of 10 answered