Part 1
- Reception and Scheduling

Appointment Date:

Were you greeted courteously on the phone when you made your
appointment?

While on the phone, was the scheduler/receptionist helpful with all of your needs and questions?

Were we easy to find?

How did you hear about our office?

When you arrived for your appointment, was the receptionist friendly?

Did the receptionist have all the necessary forms ready for you and explain them thoroughly?

Was the waiting room clean and attractive?

Was there adequate seating?

Did you have to wait longer than 15-20 minutes after your paperwork was completed for the nurse to call you back to the exam room?

Was your appointment in the morning or afternoon?:

Morning
Afternoon