PATIENT SURVEY START NOW Leave this field blank PATIENT SURVEY Randleman Medical Center (optional) 1. When I called the office for this visit, I reached a staff member in an acceptable amount of time Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable 2. The appearance of the office was clean and comfortable. Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable 3. The receptionists were courteous and professional. Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable 4. The nurses and clinical staff were courteous and professional. Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable 5. The provider treated me with respect, listened to me, and explained things in a way that was easy to understand. Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable 6. The treatment plan was explained clearly (such as care at home, prescriptions, when to follow-up, specialist referrals, labs or x-rays.) Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable 7. I would recommend this practice to a friend or relative. Strongly Agree Agree Uncertain/Unsure Disagree Strongly Disagree No Opinion/Not Applicable Send
