Amy Phillips - Mod 7 Survey

When answering the following questions, please consider your most recent visit to the doctor.
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  1. Did you visit the doctor because you were ill or for a well-visit?
    Ill
    Well-visit


  1. If it was a well-visit, was this an annual visit?
    Yes
    No


  1. If your visit was for an illness, was this for a temporary illness (i.e. flu, strep throat, etc.) or for a chronic condition (diabetes, high blood pressure, cancer, etc.)?
    Temporary
    Chronic


  1. Did you arrive on time for your appointment?
    Yes
    No


  1. How long was your waiting room wait time?
    Less than 10 minutes
    More than 10 but less than 30 minutes
    More than 30 minutes


  1. How long did you wait in a patient room before the Doctor came in to see you?
    Less than 10 minutes
    More than 10 but less than 30 minutes
    More than 30 minutes


  1. Did your Doctor do a physical examination (aside from the standard vitals check – temp, blood pressure, height, weight) or interview only?
    Physical Exam
    Interview Only


  1. Did you do any research on your temporary or chronic illness prior to this visit?
    Yes
    No


  1. Did you have any questions for your Doctor?
    Yes
    No


  1. If yes, do you feel your Doctor answered all of your questions adequately and to your satisfaction?
    Yes
    No
    I did not have any questions for my Doctor.


  1. Did any of your questions conflict with your Doctor’s recommendations or information?
    Yes
    No
    I did not have any questions for my Doctor.


  1. How long did your Doctor spend in consultation/interview time with you?
    Less than 10 minutes
    More than 10 but less than 30 minutes
    More than 30 minutes


  1. Do you feel your Doctor spent a reasonable amount of time answering your questions or do you feel he/she rushed you through?
    My Doctor spent a reasonable amount of time with me.
    My Doctor rushed me through my questions.


  1. Considering your overall visit, including wait time and consultation, how satisfied were you with this visit?
    Very Satisfied
    Satisfied
    Slightly Satisfied
    Unsatisfied


  1. Based on your experiences in this visit, will you return to this Doctor in the future?
    Yes
    No
    Uncertain


  1. If your answer was no, what is your main reason for not returning?
    Too long of a wait time.
    Not enough time spent with the Doctor.
    Doctor did not answer questions, or did not offer enough information.
    Unhappy with the Doctor’s manner or interaction.
    Other





Mrs. Fauchier