Patient Survey

Tell Us About Your Experience With ROC

* denotes required field

Patient name (optional) 
Which office did you visit?* 
How do you rate your wait in our waiting room?* 
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? (Check all that apply)

Dr. Adair
Dr. Kipikasa
Dr. Rieth
Dr. Sadanandan (Sunny)
Dr. Torres
Dr. Lam
How long did you have to wait to see the doctor?* 
What could we do to improve your experience in our office? 
To prove you are a human, please tell us which is wet?

Regional Obstetrical Consultants serving mothers and babies throughout Southeast Tenn, North GA and Western NC.
902 McCallie Avenue, Chattanooga, TN
(423) 664-4460 | (866) 4HI-RISK