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Patient Satisfaction Survey

Our mission is to provide sophisticated medical care, close to home, in a warm and caring environment. To that end, we are constantly striving to improve the quality of our services. Whether you are a new patient or a patient who has a long-standing relationship with our practice, we’d like to know what you think about us. Please tell us about your recent experience.

*  Name:
*  Date of Visit:
*  Office: Hamden  Guilford  Milford
*  Doctor/Physician Assistant:

* Denotes a required field

When you called us...
always often sometimes never
Was it easy to reach us by telephone?
If you left a message for us, was your call returned promptly?
Were we friendly and courteous to you?
Were we able to find an appointment for you quickly?
Did we speak slowly and clearly on the telephone?
Did you feel like all of your concerns were addressed?
When you visited us...
always often sometimes never
Were our hours of operation convenient?
Was our office easy to find?
Were you welcomed as soon as you entered the office?
Did you feel like we created a comfortable and safe environment?
Were we friendly and courteous to you?
Did you feel like your privacy and confidentiality were protected?
When you met the provider...
always often sometimes never
Were you seen at your scheduled appointment time?
Were tests, procedures, and treatments thoroughly explained?
Did you feel like all of your concerns were addressed?
In follow up care...
always often sometimes never
Were you able to obtain your prescriptions in a timely manner?
Was it easy for you to get advice or help during regular office hours?
Was it easy for you to get advice or help after hours?

Was this your first visit to our practice? Yes  No  
Would you recommend us to family and friends? If not, what can we do to change your mind?
Do you have any suggestions on how we can improve our service?
Enter Code to send this information*

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