Patient Satisfaction Survey

We Value Your Feedback

At Urology Specialists of Georgia, your satisfaction and well-being are our top priorities. To help us continually improve our services, we kindly ask you to take a few moments to complete this survey. Your feedback is invaluable in ensuring that we provide the highest quality care to all our patients. Thank you for sharing your experience with us.

Name

First Last

Optional

Physician's Name

Was this the first visit to our facility?

Yes

Scheduling Process

When contacting the office, the phone staff was pleasant.

I was able to schedule an appointment within a reasonable time frame.

Upon Arrival

I was greeted and registered promptly.

The registration staff was courteous and helpful.

The forms I was asked to complete were easy to understand.

My wait time was reasonable.

Nursing Staff

The nurse was courteous and friendly.

The nurse was able to answer my questions and provide assurance.

Physicians

My physician answered my questions clearly.

My physician explained my treatment options thoroughly.

My physician was courteous and friendly.

My wait time in the exam room was reasonable.

Lab/Radiology/Ultrasound

(If applicable)

My technician answered my questions clearly.

My technician explained my treatment options thoroughly.

My technician was courteous and friendly.

My wait time in the exam room was reasonable.

Would you return to Urology Specialists of Georgia?

Yes

Additional Comments

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