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Provider Satisfaction Survey

Healthchoice is always focused on providing the best customer service to our members. Please take a moment to complete the Satisfaction Survey. If you would like a Healthchoice representative to respond to your provider satisfaction survey, please provide your email address in the body of your text. Thank you.

The information you provide is completely confidential.


Name of Physician or Facility:


Are you:
a new patient or
an established patient

Please rate the following question from 1 to 5, with 1 being Not Satisfied, 3 being Neutral, and 5 being Very Satisfied

  1. When you called to schedule your appointment, how would you rate the wait time to be seen by your provider?
    1   2   3   4   5

  2. Once you reached your provider's office, how would you rate the wait time to be seen by your provider?
    1   2   3   4   5

  3. How would you rate the wait time in the exam room?
    1   2   3   4   5

  4. How would you rate the quality of care received from your provider?
    1   2   3   4   5

  5. How would you rate your provider's office staff?
    1   2   3   4   5

  6. How would you rate your provider's office appearance?
    1   2   3   4   5

  7. How would you rate your provider's office location?
    1   2   3   4   5

  8. How would you rate your overall experience?
    1   2   3   4   5

  9. Comments (optional):



 
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Last Updated: November 21, 2008                     © 2000-2008, Orlando Healthchoice