Patient Satisfaction Survey

RETURN TO CASSIDY MEDICAL GROUP, INC. HOMEPAGE

Dear Valued Patient

Cassidy Medical Group continuously evaluates your satisfaction with our services and the quality of health care that you receive from us. Please take a few moments to provide us with important information to assist us in our effort to better serve you. Thank You.

Please grade us by choosing either 5, 4, 3, 2, or 1 based on your experiences with Cassidy Medical Group.

5=Excellent, 4=Very Good, 3=Good, 2=Fair, 1=Poor

Please choose the Cassidy Medical Group physician you are basing your survey on.

Are you basing your survey on a specific department? Please choose one of the following departments:

 
Was an appointment available within a reasonable time? 5
4
3
2
1
Please rate your wait time in the reception area. 5
4
3
2
1
Please rate friendliness and courtesy shown to you by the nurses.

5
4
3
2
1

Please rate friendliness and courtesy shown to you by the receptionists. 5
4
3
2
1
Please rate friendliness and courtesy shown to you by the Radiology receptionists and technicians. 5
4
3
2
1
Are your calls returned by the office staff in reasonable time? 5
4
3
2
1
How do you find the office environment (comfort, cleanliness, lighting)? 5
4
3
2
1
Does the business office assist you with your insurance questions? 5
4
3
2
1
Did you receive reminders or encouragement to use preventitive services (such as blood pressure check, mammogram, etc.)? 5
4
3
2
1
Was it easy to get lab work completed (if ordered by physician)? 5
4
3
2
1
Was it easy to get radiology work completed (if ordered by physician)? 5
4
3
2
1
Did your physician listen to your concerns? 5
4
3
2
1
Did your physician adequately explain findings, recommended tests, treatment and options, if any, and follow-up care? 5
4
3
2
1
Did your physician take time to answer your questions? 5
4
3
2
1
Was a referral to a specialist handled in a timely manner? 5
4
3
2
1
Would you like to have the ability to use email to communicate with your doctor? yes
no
Please rate the overall quality of care and service provided by Cassidy Medical Group. 5
4
3
2
1
Would you recommend Cassidy Medical Group to others? yes
no
Would you like to be contacted in response to this survey? (Please type your name and telephone number in the box to the right.)
 Additional Comments (PLEASE TYPE YOUR COMMENTS)