Patient Satisfaction Survey

Maryland Heart, P.C. Confidential Patient Satisfaction Survey

Physician Seen or Test Performed:

 Date:
  1. How would you rate our phone menu and the ease at which you were able to reach our Appointment Scheduler?
         
  2. How would you rate the Scheduler's professionalism, helpfulness and courtesy?
         
  3. Were you able to get an Appointment when you wanted one?
         
  4. How would you rate the appearance of our Reception Area?
         
  5. How would you rate the Wait Time in our Reception Area?
         
  6. How would you rate the care you received from our Nursing and Technical Staff?
         
  7. How would you rate the care you received from your Physician?
         
  8. Would you refer your family/friends to this practice?
       
  9. Overall, how would you rate your visit to our office?
         

Please feel free to add any additional comments, complaints or recommendations below:

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