Patient
Survey
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We
at the Virginia Spine Institute are concerned about the quality
of experience that is provided to all our patients. This questionaire
lets us know how you, our most valued asset, feel about your overall
spinal care experience. Our goal is to continually assist you with the
best spinal care available today. |
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| 2. General | |||||||||
 a.
Who is your regular Doctor? |
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b. How long have you been a patient at VSI? |
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c. How were you referred to VSI? |
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| 3. Office | |||||||||
| a.
The convenience of of our office location is:
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| b.
The length of time you waited to get an appointment was:
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| c.
The comfort of the waiting room is:
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| d.
The length of time in the waiting room was:
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| 4. Physician Care | |||||||||
| a.
The doctor’s interest in your health is:
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| b.
The doctor’s advice about your specific spinal
condition is: |
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| c.
Amount of time the doctor spends with you is:
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| d.
The treatment and progress of your condition is:
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| 5. Physician Assistant Care | |||||||||
| a.
The PA's interest in your health is:
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| b.
The PA’s advice about your specific spinal condition
is:
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| c.
The amount of time the PA spends with you is: |
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| 6. Office Personnel | |||||||||
| a.
The customer service skills of our front office personnel are:
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| b.
The courteous manner in which your phone calls are handled is:
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| c.
The overall service provided by the front office personnel is: |
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| 7. General Satisfaction | |||||||||
| a.
The visit overall was:
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| b.
The chance of recommending your family and friends to us:
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| 8. Comments | |||||||||
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