Lawson Primary Care Question Title * 1. You were seen by the following Physician/Nurse Practitioner: Chris Wier, NP Elizabeth Smith, NP Robert Buzard, MD Nurse only Question Title * 2. Was this your first visit to our clinic? Yes No Question Title * 3. Would you recommend this office to your friends and family? Definitely yes Probably yes Probably no Definitely no Question Title * 4. Once you arrived for a scheduled appointment your wait time was: Less than 5 Minutes 5-10 Minutes More than 10 Minutes Question Title * 5. During your visit how often did Doctor/Nurse Practitioner treat you with courtesy and respect? Always Usually Sometimes Never Question Title * 6. During your visit how often did Doctor/Nurse Practitioner listen carefully to you? Always Usually Sometimes Never Question Title * 7. During this office visit how often did Doctor/Nurse Practitioner explain things in a way you could understand? Always Usually Sometimes Never Question Title * 8. The amount of time the Doctor/Nurse Practitioner spent with me was: Excellent Very Good Good Fair Poor Question Title * 9. The staff was friendly and efficient. Strongly agree Agree Disagree Strongly disagree Question Title * 10. The ease of scheduling appointments is: Excellent Very good Good Fair Poor Question Title * 11. The explanation of test(s) and treatment by the staff was: Excellent Very good Good Fair Poor Question Title * 12. I was given adequate discharge instructions. Definitely yes Mostly yes Not sure Mostly no Definitely no Question Title * 13. The cleanliness and comfort of this office was: Excellent Very good Good Fair Poor Question Title * 14. What one thing could we do that would most improve your office experience? Please take an Everyone Shines Here comment card to acknowledge a staff member who deserves recognition. Question Title * 15. Date of visit (optional) Question Title * 16. Contact information (optional) Name Phone number Email address Thank you for taking the time to fill out our survey so that we may improve our services to our patients. Your suggestions are very important to us. If you have additional information or concerns please feel free to contact: Physician Clinic Manager 816-629-6523 Done
