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Patient Satisfaction Survey

Athens Associates in Family Practice values your feedback! By completing the form below and clicking "submit", your feedback is sent directly to the practice administrator for review. Your honest comments and advice is what continues to improve the quality of our care and helps us to better understand your needs. Thank you in advance for completing the survey below. Please consider including your name and email address so we can better understand the circumstances surrounding your visit and your feedback. If you choose, we would love the opportunity to follow up with you. Your name and email address will NOT be shared with any third party. We appreciate the opportunity to enhance our patient care and our services for you.

Athens Associates in Family Practice, providing superior healthcare to the Athens area for over 30


1. Did you have trouble locating our office?



1a. If yes, please explain:

2. When I called the office during regular office hours, I received the help or advice I needed.



3. If I had to leave a message, I received a call back that same day.



3a. If no, what was the unreturned call regarding?

4. The front office staff met and greeted me promptly and courteously.


5. The nursing staff greeted me promptly and courteously.


  

6. The nurses spent an appropriate amount of time with me to understand and communicate my medical needs.


7. How long did you have to wait to see the provider?

8. The provider listened to me and my problems and showed respect and concern for what I had to say



9. The provider explained things in a way I could understand.


10. The provider spent enough time with me at this visit to discuss the problem I came in for.


11. Which provider (doctor) did you see?

12. When I checked out, the staff member collected my payment, or explained the insurance billing if needed.


13. If I received a referral to a specialist at my visit, it was handled in a timely manner and to my satisfaction.


14. I was satisfied with how quickly the office was able to arrange an appointment for me.


15. I would recommend your facility to others.


16. The rating I would give the staff and the provider for this visit at your facility.




Full Name

E-mail Address

Additional Comments and/or Suggestions

Privacy Statement:
The information which you give in completing this form will be forwarded to the designated party for its use and will not be used by any other party for any other purpose or provided by us to any other parties. If you would like more information concerning the privacy policy or the designated recipient, please contact us directly.





The Patient Portal is available for you to update your records, request medication refills, review your lab results and more! Log in today! You healthcare is just click away!


 
   
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Athens Associates
in Family Practice
300 Hawthorne Lane
Athens, GA 30606
Phone: 706.353.7648
Fax: 706.353.2771
All Emergencies Dial 911

NOTICE OF
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   PATIENT SATISFACTION SURVEY - TELL US ABOUT YOUR EXPERIENCE WITH US!
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