Dr. Howe's Patient Satisfaction Survey

We want to be sure we are doing everything we can to serve you. Please take a minute to fill out this survey. All responses are confidential, and we don't want you to sign it or otherwise indicate your name. Just let us know what to do better!

Thank You

On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate:

Regarding the time between your call to schedule an appointment and your appointment date,

Did we fit you in fast enough?

1   2   3   4   5    Comments:

 

The time it took us to answer your call?

1   2   3   4   5   Comments: 

 

The manners of the person who scheduled your appointment?

1   2   3   4   5   Comments: 

 

The convenience of our location?

1   2   3   4   5   Comments: 

 

Parking convenience?

1   2   3   4   5   Comments: 

 

Regarding the professionalism and helpfulness of your reception,

Was the receptionist polite?

1   2   3   4   5   Comments: 

 

Were your questions answered?

1   2   3   4   5   Comments: 

 

Your wait time in the office?

1   2   3   4   5   Comments: 

 

The comfort, cleanliness and amenities of the reception?

1   2   3   4   5   Comments: 

 

Regarding your doctor,

Who did you see?

  Robert Howe, M.D. 
  Sonia Krotkov, R.P.A.-C
  Jenny Martinez-Nocito

 

The amount of time you spent with your physician/practitioner?

1   2   3   4   5   Comments: 

 

His or her listening?

1   2   3   4   5   Comments: 

 

His or her explanation of procedures, diagnoses, or treatment regimen?

1   2   3   4   5   Comments: 

 

His or her "bedside manner"?

1   2   3   4   5   Comments: 

 

If you have visited our practice before, how convenient did you find,

Prescription refills (if appropriate)?

1   2   3   4   5   Comments: 

 

Getting lab results?

1   2   3   4   5   Comments: 

 

Overall, how would you rate our practice?

1   2   3   4   5   Comments: 

 

If you would like us to know who you are, please include your name here: