Patient Satisfaction Survey

Please rate our performance by checking the response that best describes your experience with us. Add any comments you may have about your experience.

We welcome your comments and suggestions for improvement.

Thank you.

1.
Ease of scheduling today's appointment:
Poor
Excellent
2.
Appointment availability to meet your schedule needs:
Poor
Excellent
3.
Ease of the check-in and registration process:
Poor
Excellent
4.
Comfort and cleanliness of our facility:
Poor
Excellent
5.
In the last 12 months, how many days did you usually have to wait for an appointment when you needed care right away?
6.
What was your wait time in the lobby?
7.
What was your wait time in the exam room?
8.
How would you rate the professionalism and courtesy of your nurse during your visit?
Poor
Excellent
9.
How would you rate the professionalism and courtesy of the physician during your visit?
Poor
Excellent
10.
On a scale of 1 to 5, where 5 is the best, how would you rate this provider?
Poor
Excellent
11.
Was the amount of time you spent with your physician adequate?
12.
Did you receive instructions on how to care for your condition?
13.
Since you have been a patient with us, have you been seen by a specialist?
14.
Have you signed up for our patient portal?
15.
Would you recommend JCMC to a family member and friends?
16.
General comments about your visit or your experience with us:
17.
After reviewing your survey, may we contact you for additional information?