Patient Satisfaction Survey
Please let us know about your experience with our medical clinic- it is anonymous. Select from one (1) star to five (5) stars for each statement:
The doctor seems knowledgeable about my condition:
1
2
3
4
5
The wait time to see the doctor is reasonable:
1
2
3
4
5
The doctor listens to me and allows time for my questions:
1
2
3
4
5
The doctor spends enough time with me:
1
2
3
4
5
The clinic hours are convenient:
1
2
3
4
5
The doctor's fees are fair:
1
2
3
4
5
In general, how satisfied are you with this facility and doctor?
1
2
3
4
5
Would you recommend Dr. Bendiks to others in need of chiropractic medicine?
Yes
No
Any suggestions to improve our medical service?
Thank you for completing this anonymous survey.
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