Exit this survey Dr. Nassar Office Performance Evaluation Question Title * 1. How likely are you to recommend Dr. Nassar to family or friends? Extremely likely Very likely Moderately likely Slightly likely Not at all likely Question Title * 2. During a typical office visit, does Dr. Nassar spend too much time with you, too little time with you, or about the right amount of time with you? Much too much Slightly too much About the right amount Slightly too little Much too little Question Title * 3. How much do you trust Dr. Nassar to make medical decisions that are in your best interests? A great deal A lot A moderate amount A little Not at all Question Title * 4. How well does Dr. Nassar communicate with you? Extremely well Very well Moderately well Slightly well Not at all well explains your medical condition explains your medical condition Extremely well explains your medical condition Very well explains your medical condition Moderately well explains your medical condition Slightly well explains your medical condition Not at all well listens to you listens to you Extremely well listens to you Very well listens to you Moderately well listens to you Slightly well listens to you Not at all well answers your questions answers your questions Extremely well answers your questions Very well answers your questions Moderately well answers your questions Slightly well answers your questions Not at all well Question Title * 5. How long do you wait to see Dr. Nassar? no wait within 10 minutes within 20 minutes within 30 minutes within one hour more than one hour waiting room waiting room no wait waiting room within 10 minutes waiting room within 20 minutes waiting room within 30 minutes waiting room within one hour waiting room more than one hour exam room exam room no wait exam room within 10 minutes exam room within 20 minutes exam room within 30 minutes exam room within one hour exam room more than one hour Question Title * 6. How well does Dr. Nassar's staff help you when you need help? Extremely well Very well Moderately well Slightly well Not well at all Linda (front office) Linda (front office) Extremely well Linda (front office) Very well Linda (front office) Moderately well Linda (front office) Slightly well Linda (front office) Not well at all Lily (front office) Lily (front office) Extremely well Lily (front office) Very well Lily (front office) Moderately well Lily (front office) Slightly well Lily (front office) Not well at all Shane (back office) Shane (back office) Extremely well Shane (back office) Very well Shane (back office) Moderately well Shane (back office) Slightly well Shane (back office) Not well at all Steve (back office) Steve (back office) Extremely well Steve (back office) Very well Steve (back office) Moderately well Steve (back office) Slightly well Steve (back office) Not well at all Question Title * 7. How quickly does Dr. Nassar's staff return your phone calls? Extremely quickly (same day) Very quickly (within 24 hours) Moderately quickly (within 48 hours) Slightly quickly (more than 48 hours) Not quickly at all (one week or more) Linda (front office) Linda (front office) Extremely quickly (same day) Linda (front office) Very quickly (within 24 hours) Linda (front office) Moderately quickly (within 48 hours) Linda (front office) Slightly quickly (more than 48 hours) Linda (front office) Not quickly at all (one week or more) Lily (front office) Lily (front office) Extremely quickly (same day) Lily (front office) Very quickly (within 24 hours) Lily (front office) Moderately quickly (within 48 hours) Lily (front office) Slightly quickly (more than 48 hours) Lily (front office) Not quickly at all (one week or more) Shane (back office) Shane (back office) Extremely quickly (same day) Shane (back office) Very quickly (within 24 hours) Shane (back office) Moderately quickly (within 48 hours) Shane (back office) Slightly quickly (more than 48 hours) Shane (back office) Not quickly at all (one week or more) Steve (back office) Steve (back office) Extremely quickly (same day) Steve (back office) Very quickly (within 24 hours) Steve (back office) Moderately quickly (within 48 hours) Steve (back office) Slightly quickly (more than 48 hours) Steve (back office) Not quickly at all (one week or more) Question Title * 8. How friendly and courteous is Dr. Nassar's office staff? Extremely friendly Very friendly Moderately friendly Slightly friendly Not at all friendly Linda (front office) Linda (front office) Extremely friendly Linda (front office) Very friendly Linda (front office) Moderately friendly Linda (front office) Slightly friendly Linda (front office) Not at all friendly Lily (front office) Lily (front office) Extremely friendly Lily (front office) Very friendly Lily (front office) Moderately friendly Lily (front office) Slightly friendly Lily (front office) Not at all friendly Shane (back office) Shane (back office) Extremely friendly Shane (back office) Very friendly Shane (back office) Moderately friendly Shane (back office) Slightly friendly Shane (back office) Not at all friendly Steve (back office) Steve (back office) Extremely friendly Steve (back office) Very friendly Steve (back office) Moderately friendly Steve (back office) Slightly friendly Steve (back office) Not at all friendly Question Title * 9. How easy is it to schedule urgent appointments with Dr. Nassar? Extremely easy (same day) Very easy (within 24 hours) Moderately easy (within 48 hours) Slightly easy (within one week) Not at all easy (more than one week) Question Title * 10. How easy is it to schedule check up, routine, and MRI review appointments with Dr. Nassar? Extremely easy (less than one week) Very easy (one week) Moderately easy (two weeks) Slightly easy (3 weeks) Not at all easy (more than 3 weeks) Question Title * 11. What do you like about your experience at Dr. Nassar's office? Question Title * 12. What would you like to see improved at Dr. Nassar's office? Question Title * 13. How satisfied are you with Dr. Nassar's office environment? Extremely satisfied Very satisfied Moderately satisfied Moderately dissatisfied Very dissatisfied Extremely dissatisfied Cleanliness Cleanliness Extremely satisfied Cleanliness Very satisfied Cleanliness Moderately satisfied Cleanliness Moderately dissatisfied Cleanliness Very dissatisfied Cleanliness Extremely dissatisfied Comfort Comfort Extremely satisfied Comfort Very satisfied Comfort Moderately satisfied Comfort Moderately dissatisfied Comfort Very dissatisfied Comfort Extremely dissatisfied Location Location Extremely satisfied Location Very satisfied Location Moderately satisfied Location Moderately dissatisfied Location Very dissatisfied Location Extremely dissatisfied Question Title * 14. Overall, how satisfied are you with the service and care that you received at Dr. Nassar's office? Extremely satisfied Very satisfied Moderately satisfied Moderately dissatisfied Very dissatisfied Extremely dissatisfied Done
