Hand Surgery of Northern Michigan

Patient Satisfaction Survey

As part of Hand Surgery of Northern Michigan’s commitment to excellence, your opinion and satisfaction is very important to us. Please take a few minutes to complete this confidential survey. We will utilize your responses to maintain the highest possible standards of care. Thank you.

Please enter the date of your Visit -

Please select your Provider -

Our Staff
Excellent  Very Good  Good  Fair  Poor  N/A 
Courtesy of person who made appointment
         
Friendliness and courtesy of receptionist 
         
Caring concern of medical assistant 
         
Helpfulness of surgical coordinator 
         
Helpfulness of billing department 
         
Professionalism of x-ray tech 
         
Professionalism of therapy aid 
         

Staff Comments -

 

Your Appointment 
Excellent  Very Good  Good  Fair  Poor  N/A 
Ease of making appointment
Wait time in reception area
Wait time in exam room
Check-out experience

Appointment Comments -

 

Your Provider / Therapist 
Excellent  Very Good  Good  Fair  Poor  N/A 
Care, concern, and respect from provider
Amount of time spent with provider
Clear, complete communication of illness and treatment

Provider Comments -

 

Communication 
Excellent  Very Good  Good  Fair  Poor  N/A 
Phone calls returned in a timely manner
Ease of use of Patient Portal
Questions answered thoroughly

Communication Comments -

 

Facility 
Excellent  Very Good  Good  Fair  Poor  N/A 
Comfort of waiting room and exam rooms
Adequate parking
Cleanliness of facility and restrooms

Facility Comments -

 

Overall  
Excellent  Very Good  Good  Fair  Poor  N/A 
Overall experience with Hand Surgery of N. Michigan

Suggestions on how we can improve our service to you -

Overall Comments -

Patient Name (Optional) -

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