Survey #1 - IGA Patient Satisfaction:

This form is made available for you to give feedback on your experience with Iberia Gastroenterology Associates. This form is completely anonymous. Please help us serve you better by submitting your comments.

PLEASE CHECK OFF YOUR ANSWERS TO THE FOLLOWING QUESTIONS:

1. The person receiving my call was courteous.
Always Often Not applicable Rarely Never

2. The person checking me in for my appointment was courteous.
Always Often Not applicable Rarely Never

3. The nurse at my appointment was courteous.
Always Often Not applicable Rarely Never

4. The nurse at my appointment was professional.
Always Often Not applicable Rarely Never

5. The nurse at my appointment was responsive to my needs.
Always Often Not applicable Rarely Never

6. I was satisfied with the treatment I received from my physician.
Always Often Not applicable Rarely Never

7. The facilities at IGA were clean.
Always Often Not applicable Rarely Never

8. When I called for information about my bill, my questions were answered courteously.
Always Often Not applicable Rarely Never

9. When I called for information about my bill, my questions were handled appropriately.
Always Often Not applicable Rarely Never

10. When I called for medical information, the nurse responding to the call was courteous.
Always Often Not applicable Rarely Never

11. When I called for medical information, the nurse responding to the call was responsive to my needs.
Always Often Not applicable Rarely Never

12. I was satisfied with my visit to IGA.
Always Often Not applicable Rarely Never

Choose the most important item:          
Choose the item second in importance:

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