Customer
Satisfaction Survey

Forms

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:

Customer Satisfaction Survey

1 = POOR | 2 = REGULAR | 3 = ACCEPTABLE | 4 = GOOD | 5 = EXCELLENT | NA = (Not Applicable)

MM slash DD slash YYYY
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)
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)
Would you recommend mark medical care to family and friends?(Required)

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