Patient Center

Patient Survey

We strive to deliver the highest quality foot care to you and your family. Please help us identify our areas of strengths and weaknesses so that we may continue to serve you better. Your answers are strictly confidential. Please answer only those questions that apply to you. You may either fill this survey out online or mail it back to us.

Thank you for your time and valuable insight.


Please Rate Your Appointment

1. The length of time required between your call for an appointment and when scheduled to be seen.

Excellent

Good

Fair

Poor

2. The convenience of available appointments to your schedule.

Excellent

Good

Fair

Poor

3. The waiting time in our reception area prior to being seen.

Excellent

Good

Fair

Poor

4. The waiting time in the exam room prior to being seen by the doctor.

Excellent

Good

Fair

Poor

Other comments:

Please Rate Our Facility

1. The convenience of our office hours and location.

Excellent

Good

Fair

Poor

2. The cleanliness and comfort of the office itself.

Excellent

Good

Fair

Poor

3. Our parking facilities.

Excellent

Good

Fair

Poor

4. Availability of interesting reading material for you to read.

Excellent

Good

Fair

Poor

Other comments:

Please Rate Our Staff

1. The friendliness and courtesy of our receptionists.

Excellent

Good

Fair

Poor

2. The caring and courtesy of our assistants

Excellent

Good

Fair

Poor

3. The helpfulness and courtesy of our business and insurance office personnel.

Excellent

Good

Fair

Poor

4. The helpfulness and courtesy of any facility that we referred you to (hospital, lab, MRI, etc.)

Excellent

Good

Fair

Poor

Other comments:

Please Rate Our Communication

1. Your ease in reaching our office by telephone.

Excellent

Good

Fair

Poor

2. Our timeliness in providing answers to your phone questions.

Excellent

Good

Fair

Poor

3. The quality of information that we provide by phone.

Excellent

Good

Fair

Poor

4. Describing tests and procedures to you prior to performing them.

Excellent

Good

Fair

Poor

5. Timely reporting of your test and procedures results.

Excellent

Good

Fair

Poor

Other comments:

Please Rate Your Visit

1. The attitude and conversation between our physician and you.

Excellent

Good

Fair

Poor

2. Discussion of diagnosis and treatment options so that you understood your choices.

Excellent

Good

Fair

Poor

3. The completeness of the examination in light of your stated medical problem.

Excellent

Good

Fair

Poor

4. The overall satisfaction with your physician.

Excellent

Good

Fair

Poor

Other comments:

Please Rate Your Overall Satisfaction

Your overall satisfaction with our practice.

Excellent

Good

Fair

Poor

Would you recommend this practice to a family member or friend?

Yes

No


Enter 3 Characters Above*  [Different Image]

Copyright © 2022 Bay Area Podiatry Associates. All rights reserved.
Web Site Design & Maintained by Physician WebPages