Patient Survey

Dear Internet Patient,

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



 
The courtesy of the person you spoke with was




 
The ability of the Physician Referral Service to provide you with the right information was



 
The time it took to receive information was



 
The ability of the Physician Referral Service to make you feel welcomed and cared for



 
How likely are you to use the Physician Referral Service again?



 
How likely are you to recommend the Physician Referral Service to a friend or family member?



 
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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