Patient Satisfaction Survey

Physician Seen:

Dr. Kitzmiller	Dr. Megee	Dr. Nguyen
Dr. Hom	Skin Care Specialist

We at UC Health Plastic Surgery strive to provide the best medical care in our area. In addition we wish to provide a caring, healthy environment in which you are seen and treated. We are striving to continually improve.

Please answer the following questions by circling the number that best represents your opinion.

Thank you for your help and cooperation.

Excellent

Good

Fair

Poor

a) Ease of getting through on the phone

N/A

b) Friendliness of the telephone receptionist

N/A

c) Convenience of office hours

N/A

d) Ease of getting an appointment at a convenient date and time

N/A

e) Courtesy and helpfulness of the front desk receptionist

N/A

f) Amount of time it took to be registered

N/A

g) Length of time you waited before you were seen

N/A

h) Comfort of registration waiting area

N/A

i) Respect shown to you by your nurse/assistant

N/A

j) Quality of care you received from the nurse/assistant

N/A

k) Responsiveness to phone calls related to your care

N/A

l) How well the physician listened to you

N/A

m) Time the physician spent with you

N/A

n) Respect shown to you by the physician

N/A

o) Physician's concern for your comfort during treatment

N/A

p) Clarity of the physician's explanation of your condition or treatment

N/A

q) Your participation in decisions about your care and treatment

N/A

r) Your confidence in the physician's ability

N/A

s) Would you refer a friend or relative to this practice

Yes

Comments:

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