This free survey is powered by
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Exit Survey
 
 
Thank you for taking the time to complete this brief survey. Your opinions are very important to us, and we will use this information to create an even better experience for our patients.


 
 
 
Which statement would best describe your patient status?
 
new patient
 
current patient, ongoing condition.
 
past patient, new condition
 
Other
 
 
 
 
How did you first hear about our office?
 
Recommendation from friend/family
 
Referral from a doctor
 
Referral from a lawyer
 
Newspaper
 
Direct Mail
 
Yellow Pages
 
Online search engine
 
Online reviews
 
Our website
 
Other
 
 
 
 
Which of the following magazines do you enjoy reading in our waiting rooms?
 
Beautiful House
 
Ebony
 
Gun & Garden
 
Jet
 
Newsweek
 
Oprah
 
People
 
Southern Living
 
Time
 
Other
 

 
 
 
Are there magazines we don't currently provide that you would recommend?
   
 
 
 
Would you be interested in early morning (7:15 a.m.) office hours?
 
Yes
 
No
 
 
 
Our doctors and medical staff are currently exploring new ways to keep our patients healthy and informed. Would you be interested in the following (select all that apply):
 
Email newsletters
 
Workshops and lectures at our facilities
 
Weekly prevention tips on our website
 
Email and/or text appointment reminders
 
Other