General Patient Information

In general, what is the quality of your health?

How would you rate our concern for your privacy?

How often have you visited Interboro Surgical Associates within the past year?

Scheduling Your Appointment

Do you schedule an appointment by phone or did you drop it?

If you scheduled an appointment, did you have to wait longer than expected to get scheduled?

How easy it was to make an appointment by telephone?

Day of Your Appointment

How would you rate the courtesy of the staff at the reception desk?

How long did you wait in the reception area beyond your scheduled appointment time?

How long did you wait in the exam room before the physician appeared?

Which physician did you visit during your appointment?

The Nursing Staff

How would you rate the competence of the nurse/assistant who helped you?

How would characterize the concern that the nurse/assistant showed for your problem?

Did the nurse/assistant respond to your request within a reasonable period?

The Doctor

Were you able to see the doctor of your choice?

Did you feel that your doctor spent an adequate amount of time with you?

Mark the boxes that characterize the demeanor of your doctor:

How would you rate the competence of your doctor?

Did you feel that your doctor's examination was thorough?

Please rate the clarity of the doctor's explanation of your condition and treatment options:

How well did you doctor include you in healthcare decisions?

Were your questions answered to your satisfaction?

Would you recommend this facility and its staff to your family and friends?

The Lab Staff

If you received a lab exam,please indicate the type(s) of exam you received:

If you received a lab exam,was the services prompt,comfortable,and courteous?

Additional Information

Optional Information

Would you like someone to contact you regarding your responses on this survey?