Neurosurgical Medical Clinic, San Diego, CA Logo

Phone number & Fax for all locations:
Phone: 619.297.4481 | Fax: 619.291.5536
San Diego Office: 3750 Convoy St., Suite 301, San Diego, CA 9211
La Mesa Office: 5565 Grossmont Center Drive, Building 1, Suite 210, La Mesa, CA 91942

Patient Satisfaction Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. All responses will be kept confidential and anonymous. Thank you in advance for taking the time to fill out our survey.

Physician seen in the office:
Date of Visit:
How long did you wait after your scheduled appointment time before you were called back into the exam room?
Once in the exam room, how long did you wait before the physician or mid-level saw you?
Please rate the services you received from our practice. Please select the response that best describes your experience. If the question does not apply please skip to the next question.

Convenience of our office hours:
Ease of getting through to the clinic on the phone:
Ease of scheduling your appointment:
Ability of getting the appointment when you wanted:
Friendliness of the secretary:
Helpfulness of the front desk:
Waiting time before addressed by the front desk:
Our concern for your privacy:
Moving Through Your Visit
Degree to which you were informed about delays:
Wait time at our clinic (from arriving to leaving):
Mid Level (P.A. or N.P)
Friendliness/courtesy of the mid level:
Services received from the mid level:
Mid levels concerns for your questions or worries:
How well our mid level protected your safety. (washing hands, wearing gloves):
Friendliness/courtesy of the physician:
Explanations the provider gave you about your condition:
Concern your provider showed for your questions or worries:
Provider's efforts to include you in decisions about your treatment:
Degree in which your provider talked to you using words you could understand:
Amount of time your provider spent with you:
Extent in which your provider listened to you:
How well our provider protected your safety. (washing hands, wearing gloves):
Confidence in your provider:
Likelihood of your recommending your provider to others:
Courtesy of the biller in the office:
Courtesy of the biller on the phone:
Promptness in returning your call. (if you had to leave a message):
Billers concern for privacy:
Personal Issues
Our sensitivity to your needs:
Our concern for your privacy:
Cleanliness of our practice:
Overall Assessment
How well the staff worked together to care for you:
Likelihood of recommending our practice to others:
Patient Name (optional):

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