Thank you for electing to participate in our on-line Patient Satisfaction Survey. It is our mission to enhance the quality of life for our patients and their family by providing them with the most comprehensive service possible in a timely and caring manner. In an effort to improve our services, we feel this survey will allow us to have a better understanding on how we are performing from our patient's perspective.

Thank you again for selecting AAIASTX for you allergy/immunology care.

Please select the answer that best applies to you.

 

 

1) How long have you been a patient at AAIASTX?

 

1-5 months
6-11 months
Over a year

 

2) At which office are you generally seen?

 

Babcock
Stone Oak
Barlite

 

3) Who is your primary medical provider at AAIASTX?

 

Dr. Joseph Diaz
Dr. John Dice
Dr. Ted Kniker
Dr. Erika Gonzalez-Reyes
Melissa Garcia, PA-C

 

4) Did one of our associates call and remind you about your appointment date/time?

 

Yes
No
Uncertain

 

5) Did one of our associates inform you of your insurance benefits?

 

Yes
No
Uncertain

 

6) Generally, how long do you wait to see your medical provider after you have checked in?

 

1-10 minutes
11-20 minutes
21-30 minutes
Longer than 30 minutes

 

Please answer the following questions using a 1-5 rating scale. Answering the question with a 1 indicates that you are "very dissatisfied"; answering with a 5 indicates that you are "very satisfied".

 

7) How satisfied are you with our front desk personnel?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

8) Regarding the office you are primarily seen at, how satisfied are you with the patient lobby waiting room?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

9) How satisfied are you with the medical care you've received from our nursing staff?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

10) How satisfied are you with the medical knowledge our nursing staff has shown?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

11) How satisfied are you with the medical providers (doctors & PA-C) in our practice?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

12) During your appointment, how would you rate the consultaion time our medical providers (doctors & PA-C) spent with you?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

13) How satisfied are you with the medical care you've received from our medical providers (doctors & PA-C)?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

14) How satisfied are you with our patient exam rooms?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

15) Overall, how satisfied are you with our services?

 

Choose Option 1 (very dissatisfied) 2 (dissatisfied) 3 (average) 4 (satisfied) 5 (very satisfied)

 

Comments:

 

16) Would you recommend us to a friend and/or family member?

 

Yes
No

 

Additional comments and/or suggestions:

 

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