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Anonymous Survey — In-Office Appointment
Location:
Specialty:
Physician:
1. Appointment availability:
Were you offered another location?:
2. Manners of all staff including physician:
3. Wait time in the office:
4. The physician addressed what was most important to me:
5. The physician included me in decisions about my treatment:
6. The physician discussed all of my current medications and explained how to take them properly:
7. The follow-up care instructions provided are easy to understand:
8. My physician spent adequate time with me:
9. The service and care plan provided are valuable to improving my health:
10. I would return to see this physician and recommend them to family/friends:
11. I typically receive follow-up phone calls with test results (lab, x-ray, etc.):
12. Do you have a MyPMA (patient portal) account?:
13. Comments or Suggestions for PMA Medical Specialists:
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