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  2. 2013
  3. March
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  5. Patient Satisfaction Survey
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How often do you attend medical appointments at this office?
More than once a month
 
More than once a month
 
Once a month
 
Every other month
 
Less than every other month
 
 
 
Of the choices listed below, what is the most important reason that you chose to attend appointments at this medical office?
 
Satisfaction with physician
 
Travel distance (i.e.: office is closer to home)
 
Shorter wait time during office visits
 
Affiliation with Hahnemann University Hospital
 
Friendly Staff
 
Other
 
 
 
 
At a typical visit at this office, how many minutes do you wait to be seen by your doctor? (For example, if your appointment is scheduled for 9:00 AM and you are placed in an exam room and the doctor begins his visit with you at 9:30 AM, the answer would be 30 minutes).
 
15 minutes or less
 
16-30 minutes
 
31-45 minutes
 
46-60 minutes
 
61-90 minutes
 
More than 90 minutes
 
 
 
Overall, how satisfied are you with the medical assistants who check you into your room and take your vital signs (Weight, blood pressure, etc)?
 
Very dissatisfied
 
Dissatisfied
 
Satisfied
 
Very satisfied
 
 
 
Overall, how satisfied are you with the nurses who meet with you during your visit?
 
Very dissatisfied
 
Dissatisfied
 
Satisfied
 
Very satisfied
 
 
 
In general, how satisfied are you with the physician care you receive at this office?
 
Very dissatisfied
 
Dissatisfied
 
Satisfied
 
Very satisfied
 
 
 
The final questions will ask about some of your background information. This information is needed in order to group your responses with those of persons with a similar background when the results of this study are analyzed.
 
 
 
 
What is your age?
 
18 to 29
 
30 to 49
 
50 to 64
 
65 to 74
 
75 to 84
 
85 or older
 
 
 
How far do you travel to attend appointments at this office?
 
Less than 1 mile
 
0-10 miles
 
11-20 miles
 
21-30 miles
 
31-40 miles
 
41-50 miles
 
51 miles or more
 
 
 
Hello:

Hello, My name is James Rao and I am a student at The Institute for Clinical Social Work. I am also a social worker at the Hahnemann University Hospital Transplant Center. I am conducting a short survey about patient satisfaction at this doctor’s office.

You are invited to participate in our Patient Satisfaction survery. It will take approximately 10-15 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point.

The purpose of the survey is to better learn about your satisfaction with regards to patient service at our office. Your answers will assist us in our ability to provide satisfactory service.

Your survey responses will be strictly confidential. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact James Rao at 215-762-8118.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.