Patient Satisfaction Question Title * 1. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 2. Are you male or female? Male Female Question Title * 3. What office were you seen at today? Fort Worth Burleson Weatherford Granbury Lakeworth Question Title * 4. How easy or difficult was it to schedule your appointment at a time that was convenient for you? Very easy Somewhat easy Neither easy nor difficult Somewhat difficult Very difficult Question Title * 5. In the past 12 months, how often did Texas Center for Urology respond to a phone call to their office within 24 hours? Always Most of the time About half of the time Once in a while Never Not applicable Question Title * 6. During your most recent visit, did the reception and medical staff at Texas Center for Urology treat you with courtesy and respect? Yes, definitely Yes, somewhat No Question Title * 7. Typically, how long do you wait when you come in for an appointment at Texas Center for Urology? Extremely long Very long Moderately long Slightly long Not at all long Question Title * 8. During your most recent visit, did your healthcare provider spend enough time with you? Yes, definitely Yes, somewhat No Question Title * 9. During your most recent visit, did your healthcare provider explain things in a way that was easy to understand? Yes, definitely Yes, somewhat No Question Title * 10. How well did your provider answer your questions? Extremely well Very well Somewhat well Not so well Not at all well Question Title * 11. How likely are you to recommend Texas Center for Urology to others? Extremely likely Very likely Moderately likely Slightly likely Not at all likely Question Title * 12. Do you have any other comments, questions, or concerns? Done
