Vorex Survey - Survey Response [Medical Clinic]

Medical Clinic

Q. 1)

What was the purpose of your visit to our medical clinic?

	Routine scheduled visit
	Medical emergency
	Administrative or Paper work related
	Other Answer

Q. 2)

What is your overall impression of our building facilities?

	Very impressive
	I like it
	Average
	I do not like it
	Needs updates and enhancements

Q. 3)

Regarding your experience with our staff, how would you rate each of the following:

	Excellent	Above Average	Average	Below Average	Poor
Phone communications
Office assistance knowledge
Office assistance courtesy

Q. 4)

Regarding your experience with our Doctors, how would you describe your satisfaction with their:

Q. 5)

How would you describe the wait time before seeing the Doctor?

Q. 6)

Based on your experience with us, would you recommend us to a friend?

	Yes
	No

Q. 7)

Please give us any suggestions or comments you have to better serve you on your next visit.