How are we Doing?

Northside Women's Specialists Patient Survey

Your opinions and feedback are very important to us! Please take a minute to complete this survey to let us know how we are doing. Your responses are confidential. Please complete the survey by clicking in the appropriate button. Your help is greatly appreciated and makes a difference to our practice policies and training.

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Please provide the following information to help us best serve you.

First Name
Last Name
Email
Phone
Instruction Please rate the following items:
1.
When you call, are you greeted with courtesy and professionalism?
              
2.
During your visit, are you greeted with courtesy and professionalism?
              
3.
Please rate our response time to: Your calls to our office (nurse or provider)
              
4.
Please rate our response time to: Length of time to obtain an appointment.
              
5.
Did you wait an acceptable amount of time to see your healthcare provider?
              
6.
Please indicate wait time to see provider from your appointment time.
           
7.
Were you kept informed of the reason for your delay every 15 min.?
              
Instruction Please rate your satisfaction level with the following health care team members:
8.
Please rate your satisfaction level of your Care Provider.
              
9.
Please rate your satisfaction level of our Nursing Staff.
              
10.
Please rate your satisfaction level of your Ultrasonographer.
              
11.
Please rate your satisfaction level of our Front Office Staff.
              
12.
Please rate your satisfaction level of our Lab Technician.
              
13.
Please rate your satisfaction level with billing and insurance services.
              
14.
Did our reimbursement or check-in staff explain your financial obligation?
              
15.
Did our staff collect all information necessary for billing?
              
16.
Was our reimbursement staff able to answer your financial questions?
              
17.
Please rate the quality of care you received.
              
18.
Do you feel you had the provider’s full attention?
              
19.
Did you receive enough information about your treatment and care plan?
              
20.
Please rate the thoroughness of the exam.
              
21.
Did the staff show concern for your feelings?
              
22.
Please rate your overall experience with our medical practice.
              
23.
Would you refer a friend or family member to our practice?
           
24.
What most impressed you about our practice?
25.
Please list any ideas on how we can improve our service to you.
26.
How likely is it that you will return to our practice the next time you need care?
              
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Northside Women's Specialists is affiliated with Obstetrix Medical Group, Inc.