Colorectal Surgery Patient Feedback Survey Please tell us about your experience! Question Title * 1. Your phone experience when you called to make an appointment or our staff called you Excellent Good Fair Poor Question Title * 2. The friendliness of the reception staff Excellent Good Fair Poor Question Title * 3. The friendliness of the nursing staff Excellent Good Fair Poor Question Title * 4. The friendliness of the doctors Excellent Good Fair Poor Question Title * 5. The comfort of the reception area Excellent Good Fair Poor Question Title * 6. The attractiveness of the reception area Excellent Good Fair Poor Question Title * 7. The cleanliness of the office, including the reception area and doctor's room Excellent Good Fair Poor Question Title * 8. Do you feel like you received good value for money Yes No Question Title * 9. How did you hear about us? Done