Patient Satisfaction Survey

Thank you for allowing us to participate in your healthcare. At Virginia Beach Obstetrics and Gynecology, our goal is to make your experience with our practice as pleasant as possible. We value your insight with regard to how well we are accomplishing that goal.



1. Would you like to be contacted by our practice manager?
YesNo

2. When you called our office to make your appointment:
- Was your call answered promptly and courteously?
YesNo
- If you were put on hold, was the hold time acceptable?
YesNoN/A

3. At the time of your appointment, were you greeted promptly and courteously upon your arrival?
YesNo

4. If you had questions regarding your insurance coverage or payment options, were your questions answered to your satisfaction by our insurance/billing representatives?
YesNoN/A
- Were discussions regarding payment arrangements handled confidentially and professionally?
YesNoN/A

5. Did you find our waiting room to be acceptable (i.e. comfort, tidiness, temperature, reading materials)?
YesNo
- Did you find the waiting time acceptable?
YesNo
- How long did you wait to be seen?

6. Were you greeted appropriately by the nursing staff?
YesNo
- Did you find that the nurse or medical assistant prepared you for the exam appropriately (i.e. directing you to the restroom, exam room, etc., instructing you on gowns, drapes, etc?
YesNo

7. Did you find your encounter with the physician or physician assistant to be acceptable?
YesNo
- Did you feel that the practitioner spent enough time with you and answered all of your questions?
YesNo

8. Please rate your overall experience with us on a scale of 1-10:

9. Do you have any additional comments, questions or feedback?

10. Do we have permission to reproduce all or a portion of your comments on our website as a patient testimonial?
- If you answer yes, only your first name and last initial will be used. Thank you.
YesNo