Scribd
Upload
266 views2 pages

Theresa Foley Job 35 Form 5

Woods & Water Medical Center in Ashland, Wisconsin is conducting a patient satisfaction survey to get feedback on their services. The survey asks patients to rate their experiences with ease of care, wait times, staff, billing procedures, and facility cleanliness and comfort. It also asks if patients would refer the practice to others and how long they have been a patient. The goal is to use responses to improve services and ensure patient needs are being met.

Uploaded by

api-511471779
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
266 views2 pages

Theresa Foley Job 35 Form 5

Woods & Water Medical Center in Ashland, Wisconsin is conducting a patient satisfaction survey to get feedback on their services. The survey asks patients to rate their experiences with ease of care, wait times, staff, billing procedures, and facility cleanliness and comfort. It also asks if patients would refer the practice to others and how long they have been a patient. The goal is to use responses to improve services and ensure patient needs are being met.

Uploaded by

api-511471779
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Woods & Water Medical Center

2100 Beaser Avenue


Ashland, WI 54806
(715)682-4591
WWMC.com

PATIENT SATISFACTION SURVEY


We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your answers will
help us improve our services. We will keep your answers confidential.

Thank you for helping us.


Great Good Ok Fair Poor
Please check how well you think we are doing in the following areas:
5 4 3 2 1
Ease of getting care:
How easy is it to get in to be seen?
How convenient are the practice’s hours?
How convenient is the practice’s location?
How promptly does the practice return your phone calls?
How easy is the practice’s phone system to use?
Waiting:
The length of the wait in the waiting room is…
The length of the wait in the exam room is…
The length of the wait for tests to be done is…
The length of wait for test results is…
Staff: Doctor, Nurse Practitioner (NP), or Physician Assistant (PA)
How well does the doctor/NP/PA listen to you?
Does the doctor/NP/PA take enough time with you?
How well does the doctor/NP/PA explain what you want to know?
Does the doctor/NP/PA give you good advice and treatment?
Overall, how satisfied are you with your doctor?
Is the nurse/medical assistant friendly and helpful?
Does the nurse/medical assistant answer your questions?
Are all other staff friendly and helpful?
Do all other staff answer your questions?
Payment:
If you have to talk to someone about your bill, is there an area in the office
where you can have privacy?
If you have a question about your bill, do you receive a clear explanation?
If you have a question about your healthcare coverage, is there someone
at the practice who can help you?
Facility:
Are the buildings and grounds neat and clean?
Is it easy to figure out where to go to find the office?
Do you feel comfortable and safe while you are waiting?
Do you feel your privacy is maintained?

Are you likely to refer friends and family to this practice?


Do you consider this practice your regular source of care? Yes __________ No__________

What do you like least about our practice?

What can we do to improve?

Your age (circle one) 0-9 10-24 25-49 50-64 65+


Male __________ Female __________
How long have you been a patient of this practice? __________
Thank you, again, for your help!

March 31, 2020


Woods & Water Medical Center
2100 Beaser Avenue
Ashland, WI 54806
(715)682-4591
WWMC.com

March 31, 2020

You might also like