Web Survey questions provided by an Internet tool which lets you to build surveys for the web. Medical Web survey about clinic or office. We also have lots of other web survey templates in our web survey template library. You can use Survey Share to create and deploy a web survey with questions from a customizable web survey template like this office/clinic template. CourseShare helps people generate, find, and share knowledge related to teaching and learning on the Web. Through CourseShare.com, higher education institutions, corporations, instructors, and students can find support for the global sharing of course information and Internet evaluation, access to 21st century teaching and learning techniques, and Web tools for assessing how well they are performing in this online marketplace.
Web Survey questions provided by an Internet tool which lets you to build surveys for the web. Medical Web survey about emergency room visit. We also have lots of other web survey templates in our web survey template collection. You can use SurveyShare to build and deploy a web survey with questions from a customizable web survey template.

Office/Clinic Survey Web Template:
Web survey from Survey Share's library of Medical templates. This particular web survey is concerned with Office and Clinic issues. These questions are intended for patients to answer,not doctors or staff. It is a Patient satisfaction survey of physicians office possessing staff and doctor satisfaction and waiting times. Edit this web survey and put in on the Web for free by signing up for the SurveyShare Web survey tool. You can get started free of change and create a free web survey of your own.

  Web Survey questions provided by an Internet tool which lets you to build surveys for the web. Medical Web survey about emergency room visit. We also have lots of other web survey templates in our web survey template collection. You can use SurveyShare to build and deploy a web survey with questions from a customizable web survey template.   Web Survey questions provided by an Internet tool which lets you to build surveys for the web. Medical Web survey about emergency room visit. We also have lots of other web survey templates in our web survey template collection. You can use SurveyShare to build and deploy a web survey with questions from a customizable web survey template.
   
1) What was the purpose of your visit to our office/clinic?
2) Did you have an appointment?
Yes
No
3) How long did you have to wait before you were seen by a doctor?

Please tell us how satisfied or dissatisfied you were with each of the following:
4) How satisfied were you with the way you were treated by the staff at our office?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
5) How satisfied were you with the way you were treated by the nurse?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
6) The doctor?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
7) The amount of time the doctor spent with you?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
8) The amount of time you had to wait before being seen by a doctor?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
9) How satisfied were you with the way your questions were answered?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
10) How would you rate the courtesy you were shown by staff at our office?
Excellent
Good
Fair
Poor
Don't Know

Please tell us how much you agree or disagree with the following statements:
11) The staff were knowledgeable.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
12) The staff were friendly and courteous.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
13) The nurse was knowledgeable.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
14) The nurse was friendly and courteous.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
15) The doctor was knowledgeable.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
16) The doctor was friendly and courteous.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
17) My questions were answered fully.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
18) I was given complete attention by the doctor.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
19) My visit to the office/clinic was a pleasant experience.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
20) Overall, would you say your visit to our office was very positive, somewhat positive, somewhat negative or very negative?
Very Positive
Somewhat Positive
Undecided
Somewhat Negative
Very Negative
21) What, if anything, did you like most about your visit to our office?
22) What, if anything, did you like least about your visit to our office?
23) Please tell us what, if anything, we can do to make future visits to our office more pleasant for you.
 
  Web Survey questions provided by an Internet tool which lets you to build surveys for the web. Medical Web survey about emergency room visit. We also have lots of other web survey templates in our web survey template collection. You can use SurveyShare to build and deploy a web survey with questions from a customizable web survey template.   Web Survey questions provided by an Internet tool which lets you to build surveys for the web. Medical Web survey about emergency room visit. We also have lots of other web survey templates in our web survey template collection. You can use SurveyShare to build and deploy a web survey with questions from a customizable web survey template.
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