Online Payment Center
Patient Satisfaction Survey (Endoscopy Division)
Date of Visit
With whom did you have your visit?
Which office did you visit?
When you called for an appointment, was your call handled in a timely and professional manner?
When you checked in for your appointment, where you treated in a professional manner?
When checking out at the business office, were you treated in a professional manner?
Were our fees / financial / insurance policies clearly explained to you?
During your visit did the doctor listen to and answer your questions clearly?
Do you feel the doctor spent enough time with you during your visit?
Would you refer our office to family or friends
How did you hear about our office?
Do you have any other suggestions or comments that may help us improve or expand the services we provide?