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Survey
Please give us your thought on these areas of our practice.  At the bottom is an area for anonymous free type comments.  You have to CLICK "SUBMIT VOTE" AFTER EACH QUESTION (kind of a pain - sorry), then that section will disappear but the vote is logged.  Thanks for your time.  Dr. Lewis.
RECEPTION / FRONT OFFICE
Please give us you feedback on our reception process:
How were you greeted when you walked in?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 not applicable 0

Was your phone call to our office handled quickly?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 not applicable 0

How was your referral handled by the office?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not Applicable 0

Please rate you overall front office experience
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0

Physician
Please give feed back on Dr. Lewis:
How was the overal experience with the doctor?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0

How well did the doctor address your primary concern?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0

Rate the amount and quality of time the doctor spent with you?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0

How helpful was the treatment plan the doctor provided?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0
Medical Assistant
Please give us your feedback on our medical assistant process:
How well did the medical assistant start your visit (vitals, med update)
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not Applicable 0

How well did the medical assitant perfrom at -> draw blood, give vaccine, etc
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0

When calling - did the medical assistant call you back promptly:
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not Applicable 0

How was your overall experience with the Medical Assistant?
 Great 5
 Good 4
 OK 3
 Poor 2
 Bad 1
 Not applicable 0

GENERAL ITEMS
Were your test results reportedly in a timely manner?
 Yes - very quickly 5
 Yes - average 3
 No - very slowly 1

Would you refer our office to a friend / family?
 Yes - definitely
 Yes - average
 No - definitely

You may free type any thoughts that you may have. If you would like a reply you may enter your email - it is not required.

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North Scottsdale Internal Medicine
8575 E. Princess Dr., Suite 109
Scottsdale, Arizona 85255
(480) 502 - 9355 phone
(480) 502 - 6017 fax

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Copyright 2008 © North Scottsdale Internal Medicine. All Rights Reserved.

Important disclaimer: The information on this site, including on www.nsmedicine.com is provided as a supportive service to North Scottsdale Internal Medicine and Mark J Lewis, MD, PLC and is not meant to replace the advice of the physician who cares for you. All medical advice and information should be considered to be incomplete without a physical exam, which is not possible without a visit to your doctor.
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