Patient Satisfaction Survey Physician / Provider*Please choose...Dr. CranorDr. KauffmanDr. SamuelsonKatha MaguireCarrie ReynoldsSamantha SteelmanHolly GustafsonPlease rate how satisfied you are with the following aspects of making your appointment:Courtesy of the person who scheduled your appointment* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Number of days you waited between your call and your appointment* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Getting an appointment time convenient for you* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Got to see your preferred doctor* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Please rate how satisfied you are with the following aspects of your office visit:The courtesy of the receptionist* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The comfort and condition of the waiting area* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The amount of time you waited in the reception area before going to an exam room* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The courtesy of the nurse who prepared you for your visit* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The care provided by our nursing staff* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Please rate how satisfied you are with your care provider:The amount of time you waited in the exam room for the physician / provider to arrive* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The respect and concern shown by your physician / provider* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know How well your physician/provider listened when you explained your medical needs and concerns* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know How well your physician/provider explained your care and treatment* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know How well your physician/provider explained your medications (if any)* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Instructions your physician/provider gave you about follow-up care* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The thoroughness and completeness of your exam and medical treatment* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know The amount of time your physician/provider spent with you* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know How well your physician/provider involved you in decisions about your care* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Please rate your satisfaction with these final issues:The privacy of the environment including the protection of your confidential information* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Explanations about costs and paying for your care* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Help with your insurance questions* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Please rate your overall satisfaction:Overall, how satisfied were you with the quality of care and services you received from our medical practice?* Very Satisfied Satisfied Dissatisfied Very Dissatisfied Do not know Recommendation:Would you recommend our practice to your friends and family should they need medical care?* Definitely Would Probably Would Probably Would Not Definitely Would Not Do not know How many times have you visited our practice in the past 12 months?*Please chooseOne - First VisitTwoThreeFourFiveSix or moreWhat is your age?*Please chooseUnder 2020-2930-3940-4950-5960-6970-7980 or overGender* Male Female How could we have improved your visit to our medical practice?PhoneThis field is for validation purposes and should be left unchanged. Δ