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Patient Survey

We want your feedback...
Our goal is to offer you the best healthcare possible. Please complete the following survey and click the submit button at the bottom. Your responses will be kept confidential unless you request otherwise. Thank you for choosing Greenville OBGYN!

Please rate our practice in terms of:

		Excellent	Very Good	Average	Fair	Poor	N/A
1.	Our ability to schedule your appointments in a timely manner
2.	How are your calls handled by our appointment secretary when you call in
3.	Our willingness to see you for urgent visits
4.	You feel welcome at our practice
5.	When you call in with questions your call is returned promptly
6.	Our office appearance
7.	Our providers listen to your concerns and answer your questions
8.	The friendliness of our office, nursing, and billing staff
9.	Check-in and check-out process in the office with reception
10.	Wait time in our office
11.	Office operates in an organized fashion
12.	Lab services
13.	Mammogram services
14.	Ultrasound services
15.	Office location
16.	Patient Privacy

If you rated us average or below, please tell us why:

		Excellent	Very Good	Average	Fair	Poor	N/A
	How would you rate your overall satisfaction with our practice?

How did you hear about us?

Would you refer a family member or friend to our practice? Yes No

How can we improve our services?

Which provider did you last see in our office?

Is there a staff member that went above and beyond during your visit at our office?

Are you aware that we offer:

Interactive Website (www.greenvilleob.com)	Yes	No
24 Hour Answering Service with a Physician & Midwife on call at all times	Yes	No

Are there services you would like us to add:

How can we better serve you?

Thank you!

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