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Satisfaction-survey

Little Falls
320-631-7000
Pierz
320-468-2536
Randall
320-749-2877

Unity Family Healthcare Home

PATIENT SATISFACTION SURVEY

Thank you for your interest in Family Medical Center. We value your thoughts about how to improve our services. Please take a moment to complete our on-line patient satisfaction survey.

Whether you complete all of the questionnaire, or only part, an automatic e-mail response will confirm we've received your survey. We will not share your email address with others.

› View our privacy policy

Check the topics you wish to provide feedback for:

Quality of Care
Was our staff professional, friendly, and courteous to you? (Mark all that apply)
1. Reception:
Excellent    Very Good    Good    Fair    Poor
2. Business Office:
Excellent    Very Good    Good    Fair    Poor
3. Phone Operator:
Excellent    Very Good    Good    Fair    Poor
4. Physician:
Excellent    Very Good    Good    Fair    Poor
5. Nursing Staff:
Excellent    Very Good    Good    Fair    Poor
6. X-Ray Personnel:
Excellent    Very Good    Good    Fair    Poor
7. Lab Personnel:
Excellent    Very Good    Good    Fair    Poor
Access to Care
1. Length of time spent on the phone scheduling an appointment.
Excellent    Very Good    Good    Fair    Poor
2. Appointment Availability
Excellent    Very Good    Good    Fair    Poor
3. Convenience of Clinic hours
Excellent    Very Good    Good    Fair    Poor
4. Ease of scheduling appointments with your provider of choice.
Excellent    Very Good    Good    Fair    Poor
5. Ease of obtaining medical advice/information by phone.
Excellent    Very Good    Good    Fair    Poor
6. Length of time between scheduling your appointment and the actual appointment.
Excellent    Very Good    Good    Fair    Poor
7. Length of time waiting in the office to see the doctor.
Excellent    Very Good    Good    Fair    Poor
8. Access to specialty care if you need it.
Excellent    Very Good    Good    Fair    Poor
Quality of Physician Care
1. Thoroughness of exam and treatment.
Excellent    Very Good    Good    Fair    Poor
2. Demonstrated knowledge and skill.
Excellent    Very Good    Good    Fair    Poor
3. Ability to explain medical procedures, tests, and alternative treatment plans.
Excellent    Very Good    Good    Fair    Poor
4. Showed an interest in your medical problems.
Excellent    Very Good    Good    Fair    Poor
5. Discussion of ways to avoid illness and maintain a state of well-being.
Excellent    Very Good    Good    Fair    Poor
6. Thorough instruction regarding what to do and expect when you go home.
Excellent    Very Good    Good    Fair    Poor
7. Thorough instruction regarding medications and possible side effects.
Excellent    Very Good    Good    Fair    Poor
8. Did your physician provide a treatment that you expected?
Excellent    Very Good    Good    Fair    Poor
Medical Office Environment
1. Ease of checking into the office.
Excellent    Very Good    Good    Fair    Poor
2. Office staff ability to communicate and coordinate care during visit.
Excellent    Very Good    Good    Fair    Poor
3. Cleanliness and comfort of medical office.
Excellent    Very Good    Good    Fair    Poor
4. Office staff ability to handle insurance information and registration process.
Excellent    Very Good    Good    Fair    Poor
Overall Satisfaction With Care
1. Rate the overall quality of care and services provided at the Clinic.
Excellent    Very Good    Good    Fair    Poor
2. Would you recommend the Family Medical Center to family or friends?
Definitely, Yes    Probably, Yes    Possibly, Yes    Definitely Not
3. Would you return to this Clinic if your insurance coverage was not an issue?
Definitely, Yes    Probably, Yes    Possibly, Yes    Definitely Not
Actual Wait Times
1. How long did you usually have to wait before you can get an appointment for a physician exam or other wellness visit?
Same Day    1-3 Days    4-6 Days    7-9 Days    10+ Days
2. How long do you usually have to wait before you get an appointment for a medical problem that is not urgent?
Same Day    1-3 Days    4-6 Days    7-9 Days    10+ Days
3. How long did you usually have to wait before you can be seen for an urgent non-emergency problem?
1 Hour    2-3 Hours    4-5 Hours    6-8 Hours    Next Day
4. How long did you usually have to in the waiting room to be called to the doctor's office when you have an appointment?
1-5 Mins    6-10 Mins    11-15 Mins    16-20 Mins    21+ Mins
5. How long did you usually have to wait in the exam room before you are seen by the doctor?
1-5 Mins    6-10 Mins    11-15 Mins    16-20 Mins    21+ Mins
Patient Preferred Wait Times
1. What is the maximum time you feel you should have to wait before you can get an appointment for a physical exam or other wellness visit?
Same Day    1-3 Days    4-6 Days    7-9 Days    10+ Days
2. What is the maximum time you feel you should have to wait before you can get an appointment for medical problem that is not urgent?
Same Day    1-3 Days    4-6 Days    7-9 Days    10+ Days
3. What is the maximum time you feel you should have to wait before you can be seen for an urgent non-emergency problem?
1 Hour    2-3 Hours    4-5 Hours    6-8 Hours    Next Day
4. What is the maximum time you feel you should have to wait in the waiting room to be called to the doctor's office when you have an appointment?
1-5 Mins    6-10 Mins    11-15 Mins    16-20 Mins    21+ Mins
5. What is the maximum time you feel you should have to wait in the exam room before you are seen by the doctor?
1-5 Mins    6-10 Mins    11-15 Mins    16-20 Mins    21+ Mins
Any Other Comments or Concerns:
Your First Name:
Your Email Address:
 
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