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3351 El Camino Real, Suite 205

Atherton, CA 94027

(650) 364-3600


Patient Satisfaction Survey

Please help us in providing you with the highest level of efficient, personalized care. We would greatly appreciate you taking a few moments to evaluate your experience with us. Please rate the following:

1. Accessibility Excellent Very Good Good Fair Poor N/A
Ease of getting through on the phone
Ease of scheduling an appointment
Wait time on the phone
Timeliness of return calls / emails
Wait time in the office

If Fair or Poor, please explain:

2. Communication Excellent Very Good Good Fair Poor N/A
In-office reference materials
Website Content
Billing & claims information
Patient financing information
Treatment & post care instructions

If Fair or Poor, please explain:

3. Customer Service Excellent Very Good Good Fair Poor N/A
Ambiance of Reception Area
Friendliness of office staff
Knowledge of front office staff
Helpfulness & caring of staff
Ease of payment processing
Follow-up phone calls

If Fair or Poor, please explain:

4. Consult & Treatment Excellent Very Good Good Fair Poor N/A
Concerns addressed properly
Time taken to discuss concerns
Explanation of the following:
      Procedures
      Risks
      Alternatives
      Treatment instructions
Comfort during treatment
Relief provided for any discomfort

If Fair or Poor, please explain:

5. Would you recommend a friend or relative for treatment at Peninsula Vascular Center?
  
Please explain:
6. Comments