Regional Obstetrical Consultants - high-risk obstetricians , healthy delivery.

Patient Survey

PATIENT SATISFACTION SURVEY

Please put a checkmark in the column that best
represents your opinion.

Patient name (optional):

Which office location did you visit?

	Excellent	Good	Fair	Poor
How do you rate your wait in our reception area?
How do you rate your experience with our nurses?
Was your condition explained by the doctor so that you fully understood it?
How do you rate the doctor's bedside manner?
How do you rate your experience with our ultrasound staff?
If you saw our Genetic Counselor, was your condition explained so that you fully understood it?

Which doctor did you see?

Dr. Adair
Dr. Kipikasa
Dr. Roberts
Dr. Sadanandan (Sunny)
Dr. Stallings
Dr. Torres

How long did you have to wait to see the doctor?
(please check the answer that best fits)

0-15 minutes
15-30 minutes
30-45 minutes
45 minutes to 1 hour
1 to 1 1 hours
1 1 to 2 hours
2 to 2 1 hours
over 2 1 hours

What could we do to improve your experience in our office?

Enter Number

Thank you for taking the time to complete this survey. We value your opinion and suggestions and strive to make your appointment(s) as pleasant as possible.

To comment on a visit to ROC's affiliate office in Knoxville, please contact that office at 865-305-8888.

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