Patient Satisfaction Your feedback is important to us. Please rate the following with an assigned number: Please enable JavaScript in your browser to complete this form.Promptness in returning phone calls. *0 = poor1 = fair2 = good3 = very good4 = excellentOur office staff meeting your individual needs. *0 = poor1 = fair2 = good3 = very good4 = excellentThe ability to arrange an appointment at a convenient time. *0 = poor1 = fair2 = good3 = very good4 = excellentThe friendliness, concern, and courtesy shown to you by our office staff. *0 = poor1 = fair2 = good3 = very good4 = excellentPunctuality of appointment time. *0 = poor1 = fair2 = good3 = very good4 = excellentEfficiency of the check in/check out process. *0 = poor1 = fair2 = good3 = very good4 = excellentThe comfort, appearance, and cleanliness of our facilities. *0 = poor1 = fair2 = good3 = very good4 = excellentThe helpfulness of our staff in answering insurance and financial questions. *0 = poor1 = fair2 = good3 = very good4 = excellentYour ability to get through to our office by phone. *0 = poor1 = fair2 = good3 = very good4 = excellentAdditional Comments *EmailSubmit