Customer satisfaction survey

CUSTOMER SATISFACTION SURVEY

Thank you for taking the time to complete the satisfaction survey. Mark Medical Care is always striving for opportunities to ensure we are providing the best care to our patients. The five-minute survey remains completely anonymous, and we appreciate the feedback.

Rate your level of satisfaction according to the following scale:

1 = POOR◉ 2 = REGULAR◉ 3 = ACCEPTABLE◉ 4 = GOOD◉ 5 = EXCELLENT◉ NA = (Not Applicable)
if it was not possible to observe the aspects associated with the question

Facility(Required)

Date(Required)

1. CUSTOMER SERVICE:

How easy was it to contact us (phone, social networks, internet)(Required)

Service provided by our personnel (kindness and courtessy, by phone and in person)(Required)

Scheduling your appointment at a time that was convinient for you(Required)

2. MEDICAL ATTENTION

Information provided by the staff who assisted you (care and recommendations - pre and post treatment)(Required)

Service you received from the reception staff (kindness, courtesy, help)(Required)

Service you received from the medical assistant (kindness, courtesy, help)(Required)

Service you received from your medical provider (kindness, courtesy, help)(Required)

3. FACILITY

Location convinience of our office(Required)

Office cleanliness and organization(Required)

Waiting area comfort(Required)

Do you intend to return to mark medical care?(Required)

Yes	No

Would you recommend mark medical care to family and friends?(Required)

Yes	No

Any additional feedback or comment you may have?

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Customer satisfaction survey

CUSTOMER SATISFACTION SURVEY

CUSTOMER SATISFACTION SURVEY

Contact Us

Deer Park

Freeport

Ridgewood

Woodside

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