PATIENT SATISFACTION SURVEY

Thank you for your recent visit to our office. We want to ensure that we’re doing everything possible to provide the very best care in a comfortable, safe, and welcoming environment.

Patient Satisfaction Survey

We would greatly appreciate it if you would take a moment to answer 5 quick questions to let us know how we did.

Your opinion matters greatly to us.

Thinking about your interaction with the OFFICE STAFF, please indicate how much you agree or disagree with the following statement: "The Healthcare Staff was responsive & helpful."

5 = Strongly Agree.  1 = Strongly Disagree.

Thinking about your interaction with DR. TAYLOR, please indicate how much you agree or disagree with the following statement: "Dr. Taylor explained things in a way that was easy to understand."

5 = Strongly Agree.  1 = Strongly Disagree.

Once your current treatment is complete, what’s the LIKELIHOOD you’ll make another appointment with Dr. Taylor during the next year?

5 = Extremely Likely.  1 = Not Likely.

What’s the likelihood you’ll RECOMMEND Dr. Taylor to a friend or family member?

5 = Extremely Likely.  1 = Not Likely.

Thinking about your OVERALL EXPERIENCE with Dr. Taylor, how would you rate your overall experience?

5 = Well Worth It.  1 = Not Worth It.

GENERAL INQUIRIES

CAPE CORAL

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