Neurology Clinic Patient Satisfaction Survey

Our goal is for you to be very satisfied with the care you receive at the Professional Physicians Neurology Clinic.
Please let us know how we are doing: if you should have any comments or concerns regarding your visit or you see areas where we can improve, we would like to hear from you.
Thank you for choosing the Professional Physicians Neurology Clinic, taking the time to visit our website and completing our survey.

1. When scheduling your appointment, how long did it take you to get in ?
Less than a week Greater than a week

2. When you entered our clinic, were you greeted by the receptionist ?
Yes No

3. How long was your wait time once you checked in with the receptionist ?
Less than 15 min Greater than 15 min More than 1 hr

4. Did you have any problems finding the clinic ?
Yes No

5. Did you have any problems getting into and out of the clinic office or parking lot ?
Yes No

6. How did you find out about Dr. Nelson? (check all that apply):
Newspaper: Primary Care Provider: Other Specialist Provider:
Internet Search: Referral From Friend: Other:

7. On a scale of 1-5 , how would you rate the courteousness of the office staff :
  1 2 3 4 5
• Courteousness of the Physician:
• Courteousness of the Nurse:
• Courteousness of the Technician:

8. Did you feel there was an overall teamwork and cooperation among the staff ?
Yes No

9. If you had a procedure, was the procedure explained to you prior to your testing ?
Yes No Not Applicable

10. Was the procedure explained to you in a manner you understood ?
Yes No Not Applicable

11. Did the physician explain your diagnosis/results ?
Yes No

12. Did you have to reschedule your initial appointment ?
Yes No

13. Did you receive a phone call reminding you of your appointment ?
Yes No

14. Overall, how would you rate your encounter at our Neurology Clinic ?
Not Satisfied Satisfied Very Satisfied



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