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physician survey
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Dear Physician,
The University Hospitals Physician Referral Service offers convenient access to a variety of healthcare programs and services. Recently our staff assisted you with scheduling an appointment. Our goal is to provide you with high quality and personalized service. Therefore we would like to obtain your feedback.
Please take a few moments to complete this survey and evaluate your experience with our team. Your feedback will allow us to improve our performance, so we can better meet your needs. Thank you in advance for your comments.
Mary Lou Anderson, Director Physician Resource Center
Thinking about the experience
with your most recent contact,
please rate the quality of our service:
The overall quality of service that you received from the Physician Referral Service was:
Excellent
Very Good
Good
Fair
Poor
The courtesy of the person you spoke with was:
Excellent
Very Good
Good
Fair
Poor
The ability of the Physician Referral Service to provide you with the right information was:
Excellent
Very Good
Good
Fair
Poor
The time it took to receive information was:
Excellent
Very Good
Good
Fair
Poor
The ability of the Physician Referral Service to make you feel welcomed and cared for:
Excellent
Very Good
Good
Fair
Poor
How likely are you to use the Physician Referral Service again?
Extremely Likely
Very Likely
Likely
Not Sure
Unlikely
How likely are you to recommend the Physician Referral Service to a colleague or family member?
Extremely Likely
Very Likely
Likely
Not Sure
Unlikely
Please tell us if one of our team had exceeded your expectations and why.
What recommendations do you have to improve our service?
Additional Comments
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