Chicago Podiatric Surgeons Patient Survey
Your opinion is important to us.
 
1.
Where were you seen?
Chicago
Lombard
Tinley Park
2.
How would you rate the overall quality of care you received?
Excellent
Good
Fair
Poor
Undecided
3.
How did you make an appointment?
called the office
online
4.
If you spoke to our staff member regarding your appointment, was the staff member friendly and helpful?
strongly agree
agree
neither agree nor disagree
disagree
strongly disagree
5.
Was there an appointment time that suited your need?
yes
no
6.
If no, please explain.
 

350 characters left.
7.
Were you able to find parking in the area?
yes
no
I didn't need parking
8.
Upon check in did the front office personnel greet you with a friendly and helpful manner?
strongly agree
agree
neither agree nor disagree
disagree
strongly disagree
9.
Were you seen within 15 minutes of your appointment time?
yes
no
10.
Was the medical support personnel (nurses, assistants) friendly and helpful during your visit?
strongly agree
agree
neither agree nor disagree
disagree
strongly disagree
11.
Were you satisfied with the care you received from your doctor?
strongly agree
agree
neither agree nor disagree
disagree
strongly disagree
12.
Upon checking out were you treated in a friendly and helpful manner by the front office staff?
strongly agree
agree
neither agree nor disagree
disagree
strongly disagree
13.
Did the billing department respond to your questions in a satisfactory manner
strongly agree
agree
neither agree nor disagree
disagree
strongly disagree
14.

When would you prefer to see the doctor? Please check all that apply.

7-9 AM
9 AM - 12 PM
12-5 PM
after 5 PM
Saturday
15.

Any other comments that you would like to share with us: 

 

1000 characters left.
We value your time, opinions, and privacy. All answers will be kept confidential. All questions are optional, please answer as many as possible. Thank you!