Evansville Digestive Care Center Clinic Patient Satisfaction Survey

Our goal is to provide you with the safest, most convenient and best care possible. You can help us fulfill this goal if you will take a moment to let us know what we did right and where we could improve our services.

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* 1. What is your name? Please leave blank if you wish to remain anonymous or do not wish be contacted for any reason.

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* 2. Which provider did you see?

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* 3. Please rate the following:

	1 Did Not Meet Expectations	2	3 Met Expectations	4	5 Exceeded Expectations
Was our staff courteous and friendly when you arrived to our office?	Was our staff courteous and friendly when you arrived to our office? 1 Did Not Meet Expectations	Was our staff courteous and friendly when you arrived to our office? 2	Was our staff courteous and friendly when you arrived to our office? 3 Met Expectations	Was our staff courteous and friendly when you arrived to our office? 4	Was our staff courteous and friendly when you arrived to our office? 5 Exceeded Expectations
How would you rate our check-in process?	How would you rate our check-in process? 1 Did Not Meet Expectations	How would you rate our check-in process? 2	How would you rate our check-in process? 3 Met Expectations	How would you rate our check-in process? 4	How would you rate our check-in process? 5 Exceeded Expectations
When you were taken back to the examination room, was the medical assistant friendly and courteous?	When you were taken back to the examination room, was the medical assistant friendly and courteous? 1 Did Not Meet Expectations	When you were taken back to the examination room, was the medical assistant friendly and courteous? 2	When you were taken back to the examination room, was the medical assistant friendly and courteous? 3 Met Expectations	When you were taken back to the examination room, was the medical assistant friendly and courteous? 4	When you were taken back to the examination room, was the medical assistant friendly and courteous? 5 Exceeded Expectations
How satisfied were you with your physician/nurse practitioner/dietician?	How satisfied were you with your physician/nurse practitioner/dietician? 1 Did Not Meet Expectations	How satisfied were you with your physician/nurse practitioner/dietician? 2	How satisfied were you with your physician/nurse practitioner/dietician? 3 Met Expectations	How satisfied were you with your physician/nurse practitioner/dietician? 4	How satisfied were you with your physician/nurse practitioner/dietician? 5 Exceeded Expectations
After seeing the provider, were you treated courteously by our check-out staff?	After seeing the provider, were you treated courteously by our check-out staff? 1 Did Not Meet Expectations	After seeing the provider, were you treated courteously by our check-out staff? 2	After seeing the provider, were you treated courteously by our check-out staff? 3 Met Expectations	After seeing the provider, were you treated courteously by our check-out staff? 4	After seeing the provider, were you treated courteously by our check-out staff? 5 Exceeded Expectations
Were we able to meet your needs when we scheduled your appointment?	Were we able to meet your needs when we scheduled your appointment? 1 Did Not Meet Expectations	Were we able to meet your needs when we scheduled your appointment? 2	Were we able to meet your needs when we scheduled your appointment? 3 Met Expectations	Were we able to meet your needs when we scheduled your appointment? 4	Were we able to meet your needs when we scheduled your appointment? 5 Exceeded Expectations
How would you rate the comfort and cleanliness of the office?	How would you rate the comfort and cleanliness of the office? 1 Did Not Meet Expectations	How would you rate the comfort and cleanliness of the office? 2	How would you rate the comfort and cleanliness of the office? 3 Met Expectations	How would you rate the comfort and cleanliness of the office? 4	How would you rate the comfort and cleanliness of the office? 5 Exceeded Expectations
How was the wait time in the office, compared to your expectations?	How was the wait time in the office, compared to your expectations? 1 Did Not Meet Expectations	How was the wait time in the office, compared to your expectations? 2	How was the wait time in the office, compared to your expectations? 3 Met Expectations	How was the wait time in the office, compared to your expectations? 4	How was the wait time in the office, compared to your expectations? 5 Exceeded Expectations
How likely are you to recommend this facility to others?	How likely are you to recommend this facility to others? 1 Did Not Meet Expectations	How likely are you to recommend this facility to others? 2	How likely are you to recommend this facility to others? 3 Met Expectations	How likely are you to recommend this facility to others? 4	How likely are you to recommend this facility to others? 5 Exceeded Expectations
If you spoke with a phone nurse, how would you rate your experience compared to your expectations?	If you spoke with a phone nurse, how would you rate your experience compared to your expectations? 1 Did Not Meet Expectations	If you spoke with a phone nurse, how would you rate your experience compared to your expectations? 2	If you spoke with a phone nurse, how would you rate your experience compared to your expectations? 3 Met Expectations	If you spoke with a phone nurse, how would you rate your experience compared to your expectations? 4	If you spoke with a phone nurse, how would you rate your experience compared to your expectations? 5 Exceeded Expectations

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* 4. Overall, how would you rate your experience at Digestive Care Center?

1 Did Not Meet Expectations

3 Met Expectations

5 Exceeded Expectations

1 Did Not Meet Expectations

3 Met Expectations

5 Exceeded Expectations

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* 5. Comments or suggestions:

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* 6. Do you use our Patient Portal?

Yes