OSOC Patient Satisfaction Survey Question Title 1. Please choose your provider. Dr. Bahu Dr. Kassab Dr. Tisdel Dr. Ward Question Title 2. Courtesy of the staff on the telephone when making your appointment(s). Excellent Good Fair Poor Excellent Good Fair Poor Comments: Question Title 3. Courtesy and helpfulness of our receptionist at the time of your appointment. Excellent Good Fair Poor Excellent Good Fair Poor Comments: Question Title 4. Total time you spent waiting in our office. Excellent Good Fair Poor Excellent Good Fair Poor Comments: Question Title 5. Please rate the quality of care you received. Excellent Good Fair Poor Excellent Good Fair Poor Comments: Question Title 6. The politeness and helpfulness of the staff upon check-out. Excellent Good Fair Poor Excellent Good Fair Poor Comments: Question Title 7. Please rate your overall experience at our office. Excellent Good Fair Poor Excellent Good Fair Poor Comments: Question Title 8. Did you find the information on our website informative and/or helpful to you? Yes No Did Not Visit OSOC.com Comments: Question Title 9. Is there anything we could have done to improve your last visit? Question Title 10. Do you have any other comments, questions, or concerns? Question Title 11. Would you like to be contacted by the manager regarding your experience in our office? If so, please leave your contact information. Thank you for choosing OSOC for your orthopedic needs. We sincerely appreciate your time in completing this survey. Your feedback is really important to us. Done