PGg’’’’’’’Č\2SR ß yT‚Ń°}T66 õ‚JJ$½°½KFORM:DefaultJ†Œ_IŒ :ī…IVIEWDEF:Defaultl—l—V†Œ_IŅ:†}D4dfģ’Arialdfģ’Arialdfģ’ArialŃŚ",ź"R,oź ’’’0jdųNv8D’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’šArialŒģ’ą’¼č’¼40Ø8I^Patient Satisfaction Survey4”BxĀPlease take a moment to mark your responses to the following questions. Please base your opinions on today's visit. Thank you.4<žQ¶4$BØāĒ Appointment: 8BÜ MakeApptÖv8Appointment15\BŽ% 8E1. Ability to make an appointment within a reasonable amount of time:… ‰Üõ”‹ ‰Ž õ7„ŽŲöGood‹ ķŽõB7 Ž.öFair‹ =ŽTõp7YŽ…öPoor‹ ‹Ż¢ōž7 §Żūõ Excellent‹ ÜóŠ7$Ü ōNot Applicable 8Cu”RoutineAppointmentUv8Appointment1b5,Cu8b. Routine Appointment:… 0u”d‹ 0uŻ7(LuŻ Within 5 Days‹ u½N7(!u½ Within 10 Days‹ āušˆ7(žuš Within 15 Days‹ “u”Ā7,Šu” More Than 15 Days 8C¢™ŗCompletePhysicalv8Appointment1c5,C¢ŗ8c. Complete Physical:… 0¢™ŗd‹ 0¢ķŗ7(L¢ķŗ Within 4 Weeks‹ ¢ĀŗN7(!¢Āŗ Within 6 Weeks‹ ā¢Ÿŗˆ7(ž¢Ÿŗ Within 8 Weeks‹ “¢™ŗĀ7,Š¢™ŗ More Than 8 Weeks 8FGJAbilitytosche‡v8Appointment25XFJ8@2. Ability to schedule an appointment at convenient time of day:… ¼G2‹ ¼Ó27 Ų,3 Excellent‹ 42F79l3Good‹ uŒ2t7‘¶3Fair‹ Éą2¢7å3Poor‹ 0G2Š7$LŠ3Not Applicable 8CF·^UrgentAppointmentŃ0v8Appointment1a5,CF^8a. Urgent Appointment:… 0F·^d‹ 0F½^7 LF½^ Same Day‹ F‡^F7 !F‡^ Next Day‹ āF·^x7(žF·^ More Than 2 Days4,B3How long did you wait? 8FVFrAmountofWaiting4v8Appointment25DFVän8,3. Amount of Waiting Time in Reception Area:… »[Fr|‹ »[Ņr7 ×[+s Excellent‹ [3rF78[ksGood‹ t[‹rt7[µsFair‹ Č[ßr¢7ä[sPoor‹ /[FrŠ7$K[ĻsNot Applicable 8F8bgWaitTimeō4v8Appointment3a5TF8 g8?6. Approximate Amount of Time You Waited in the Reception Area:… Œ8bOŒ‹ Œ8£O7 Ø8P 5 Minutes‹ 8OF7$#8”P 10 Minutes‹ 8˜O|7$8P 15 Minutes‹ ę8żO²7$8sP 20 Minutes‹ K8bOč7,g8$P 30 Minutes or More 8FF˜ExamWaitingn5v8Appointment45<FČ—8'4. Amount of Waiting Time in Exam Room:… »F˜t‹ »Ņ˜7 ׁ+™ Excellent‹ 3˜F78k™Good‹ t‹˜t7µ™Fair‹ Čß˜¢7䁙Poor‹ /F˜Š7$KĻ™Not Applicable 8Fsa¢ExamTimeAõ4v8Appointment4a5PFs ¢8:7. Approximate Amount of Time You Waited in the Exam Room:… ŒsaŠˆ‹ Œs£Š7 Øs‹ 5 Minutes‹ sŠF7$#s”‹ 10 Minutes‹ €s—Š|7$œs ‹ 15 Minutes‹ åsüŠ²7$sr‹ 20 Minutes‹ JsaŠč7,fs#‹ 30 Minutes or More 8F¦FĮPhysicianTimeX6v8Appointment55@F¦ā¾8+5. Amount of Time Physician Spent With You:… »ŖFĮx‹ »ŖŅĮ7 ×Ŗ+Ā Excellent‹ Ŗ3ĮF78ŖkĀGood‹ tŖ‹Įt7ŖµĀFair‹ ČŖßĮ¢7äŖĀPoor‹ /ŖFĮŠ7$KŖĻĀNot Applicable 8E©bŲAmtPhyTimeö4v8Appointment5a5LE©śŲ878. Approximate Amount of Time Physician Spent With You:… Œ©bĄ„‹ Œ©£Ą7 Ø©Į 5 Minutes‹ ©ĄF7$#©”Į 10 Minutes‹ ©˜Ą|7$©Į 15 Minutes‹ ę©żĄ²7$©sĮ 20 Minutes‹ K©bĄč7,g©$Į 30 Minutes or More4DŠ|  StaffĆ <U÷?Ęi’’’Staff¢6&&<N fHųµT *fHųaCourtesyofstaffK8v85@fIėa**1. Courtesy of Staff When Taking Your Call… •Hų_j‹ •H¬_7 ±H` Excellent‹ ļH_F7 H>`Good‹ 2HI_t7NHs`Fair‹ rH‰_¢7ŽHŗ`Poor‹ įHų_Š7$żH`Not Applicable *frų‹~CourtesyofReceptL8v850fs[‹*2. Courtesy of Receptionist… •rų‰Z‹ •r¬‰7 ±rŠ Excellent‹ ļr‰F7 r>ŠGood‹ 2rI‰t7NrsŠFair‹ rr‰‰¢7ŽrŗŠPoor‹ įrų‰Š7$żrŠNot Applicable *fœųµŽCareandConcernoĘ8v854f~µ*3. Care and Concern of Nurses… •œų³^‹ •œ¬³7 ±œ“ Excellent‹ ļœ³F7 œ>“Good‹ 2œI³t7Nœs“Fair‹ rœ‰³¢7Žœŗ“Poor‹ įœų³Š7$żœ“Not Applicable *fĘųßBXrayorUltrasounĒ8v85DfĒųß*,4. X-ray or Ultrasound technologist's Manner… •ĘųŻn‹ •Ę¬Ż7 ±ĘŽ Excellent‹ ļĘŻF7 Ę>ŽGood‹ 2ĘIŻt7NĘsŽFair‹ rʉŻ¢7ŽĘŗŽPoor‹ įĘųŻŠ7$żĘŽNot Applicable *fšų ¶LabTechniciansMČ8v850fń_ *5. Lab Technician's Manner… •šųZ‹ •š¬7 ±š Excellent‹ ļšF7 š>Good‹ 2šIt7NšsFair‹ rš‰¢7ŽšŗPoor‹ įšųŠ7$żšNot Applicable *fų3PhysiciansMannerÉ8v85,f-3*6. Physician's Manner… •ų1V‹ •¬17 ±2 Excellent‹ ļ1F7 >2Good‹ 2I1t7Ns2Fair‹ r‰1¢7Žŗ2Poor‹ įų1Š7$ż2Not Applicable *fDų]rLevelofConfidencŹ8v85DfE]*/7. Level of Confidence in the Care You Received… •Dų[n‹ •D¬[7 ±D\ Excellent‹ ļD[F7 D>\Good‹ 2DI[t7NDs\Fair‹ rD‰[¢7ŽDŗ\Poor‹ įDų[Š7$żD\Not Applicable *gnų‡ę StaffsAbilitytoĖ8v85Pgod‡*88. Staff's Ability to Handle Your Questions and Concerns… •nų…z‹ •n¬…7 ±n† Excellent‹ ļn…F7 n>†Good‹ 2nI…t7Nns†Fair‹ rn‰…¢7Žnŗ†Poor‹ įnų…Š7$żn†Not Applicable *gœųµf RespectShownforĢ8v858g”µ*!9. Respect Shown for Your Privacy… •œų³b‹ •œ¬³7 ±œ“ Excellent‹ ļœ³F7 œ>“Good‹ 2œI³t7Nœs“Fair‹ rœ‰³¢7Žœŗ“Poor‹ įœų³Š7$żœ“Not ApplicableM v. " H vŹ  ExcellentHį .GoodH+P JFairHg“ fPoorH$Ŗ. ‚Not Applicableø i¬IÅ4 i­½Å Excellent4Ū­Å.Good42­WÅJFair4|¬ØÄfPoor4$ŬIĂNot Applicableø kćš4 kćÅū 5 Minutes4 ÜćAū. 10 Minutes4 Wć¼ūN 15 Minutes4 Åć*ūn 20 Minutes4(5暎30 Minutes or Moreø œß|ų4ąAųGood4mą’ų*Fair4½ßé÷FPoor4$ųß|÷bNot Applicable4 œąšų† Excellent»'Šh oź ’’’0jd’Gv8D’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’šArialŒģ’ą’¼č’¼40Ø8I^Patient Satisfaction Survey4”BxĀPlease take a moment to mark your responses to the following questions. Please base your opinions on today's visit. Thank you.4<žQ¶4$BØāĒ Appointment: 8BÜ MakeApptÖv8Appointment15\BŽ% 8E1. Ability to make an appointment within a reasonable amount of time:… ‰Üõ”‹ ‰Ž õ7„ŽŲöGood‹ ķŽõB7 Ž.öFair‹ =ŽTõp7YŽ…öPoor‹ ‹Ż¢ōž7 §Żūõ Excellent‹ ÜóŠ7$Ü ōNot Applicable 8Bl“†RoutineAppointmentUv8Appointment1b5,Bn†8Routine Appointment:… "l“…d‹ "lĻ„7(>lĻ„ Within 5 Days‹ m¼…N7( m¼… Within 10 Days‹ įm™…ˆ7(żm™… Within 15 Days‹ ³m“…Ā7,Ļm“… More Than 15 Days 8B•’±CompletePhysicalv8Appointment1c5(B™ń±8Complete Physical:… "•’®`‹ "•Ł­7(>•Ł­ Within 4 Weeks‹ –»®N7( –»® Within 6 Weeks‹ į–˜®ˆ7(ż–˜® Within 8 Weeks‹ ³–’®Ā7(Ļ–’® More Than 8 Weeks 8BļB Abilitytosche‡v8Appointment25XBļ8@2. Ability to schedule an appointment at convenient time of day:… · B ‹ · Ī 7 Ó '! Excellent‹  / F74 g!Good‹ p ‡ t7Œ ±!Fair‹ Ä Ū ¢7ą  !Poor‹ + B Š7$G Ė!Not Applicable 8BB¶]UrgentAppointmentŃ0v8Appointment1a5(BE÷]8Urgent Appointment… "B¶[`‹ "BÆZ7 >BÆZ Same Day‹ C†[F7 C†[ Next Day‹ įC¶[x7(żC¶[ More Than 2 Days4,B3How long did you wait? 8B*BFAmountofWaiting4v8Appointment25DB*ąB8,3. Amount of Waiting Time in Reception Area:… ·/BF|‹ ·/ĪF7 Ó/'G Excellent‹ //FF74/gGGood‹ p/‡Ft7Œ/±GFair‹ Ä/ŪF¢7ą/ GPoor‹ +/BFŠ7$G/ĖGNot Applicable 8Da?WaitTimeō4v8Appointment3a5TD ?8?6. Approximate Amount of Time You Waited in the Reception Area:… ‹a'Œ‹ ‹¢'7 § ( 5 Minutes‹ 'F7$"“( 10 Minutes‹ €—'|7$œ ( 15 Minutes‹ åü'²7$r( 20 Minutes‹ Ja'č7,f#( 30 Minutes or More 8BSBlExamWaitingn5v8Appointment45<BSÄk8'4. Amount of Waiting Time in Exam Room:… ·UBlt‹ ·UĪl7 ÓU'm Excellent‹ U/lF74UgmGood‹ pU‡lt7ŒU±mFair‹ ÄUŪl¢7ąU mPoor‹ +UBlŠ7$GUĖmNot Applicable 8EGavExamTimeAõ4v8Appointment4a5PEG v8:7. Approximate Amount of Time You Waited in the Exam Room:… ŒGa^ˆ‹ ŒG£^7 ØG_ 5 Minutes‹ G^F7$#G”_ 10 Minutes‹ €G—^|7$œG _ 15 Minutes‹ åGü^²7$Gr_ 20 Minutes‹ JGa^č7,fG#_ 30 Minutes or More 8BzB•PhysicianTimeX6v8Appointment55@BzŽ’8+5. Amount of Time Physician Spent With You:… ·~B•x‹ ·~Ī•7 Ó~'– Excellent‹ ~/•F74~g–Good‹ p~‡•t7Œ~±–Fair‹ Ä~Ū•¢7ą~ –Poor‹ +~B•Š7$G~Ė–Not Applicable 8D}a¬AmtPhyTimeö4v8Appointment5a5LD}ł¬878. Approximate Amount of Time Physician Spent With You:… ‹}a”„‹ ‹}¢”7 §} • 5 Minutes‹ }”F7$"}“• 10 Minutes‹ €}—”|7$œ} • 15 Minutes‹ å}ü”²7$}r• 20 Minutes‹ J}a”č7,f}#• 30 Minutes or More4D²|ķ StaffĆ <RĮ<ˆi’’’Staff¢6<N c öwT *c õ#CourtesyofstaffK8v85@c č#**1. Courtesy of Staff When Taking Your Call… ’ õ!j‹ ’ ©!7 ® " Excellent‹ ģ !F7 ;"Good‹ / F!t7K p"Fair‹ o †!¢7‹ ·"Poor‹ Ž õ!Š7$ś ~"Not Applicable *c4õM~CourtesyofReceptL8v850c5XM*2. Courtesy of Receptionist… ’4õKZ‹ ’4©K7 ®4L Excellent‹ ģ4KF74;LGood‹ /4FKt7K4pLFair‹ o4†K¢7‹4·LPoor‹ Ž4õKŠ7$ś4~LNot Applicable *c^õwŽCareandConcernoĘ8v854c_{w*3. Care and Concern of Nurses… ’^õu^‹ ’^©u7 ®^v Excellent‹ ģ^uF7^;vGood‹ /^Fut7K^pvFair‹ o^†u¢7‹^·vPoor‹ Ž^õuŠ7$ś^~vNot Applicable *cˆõ”BXrayorUltrasounĒ8v85Dc‰õ”*,4. X-ray or Ultrasound technologist's Manner… ’ˆõŸn‹ ’ˆ©Ÿ7 ®ˆ  Excellent‹ ģˆŸF7ˆ; Good‹ /ˆFŸt7Kˆp Fair‹ oˆ†Ÿ¢7‹ˆ· Poor‹ ŽˆõŸŠ7$śˆ~ Not Applicable *c²õĖ¶LabTechniciansMČ8v850c³\Ė*5. Lab Technician's Manner… ’²õÉZ‹ ’²©É7 ®²Ź Excellent‹ ģ²ÉF7²;ŹGood‹ /²FÉt7K²pŹFair‹ o²†É¢7‹²·ŹPoor‹ Ž²õÉŠ7$ś²~ŹNot Applicable *cÜõõPhysiciansMannerÉ8v85,cŻ*õ*6. Physician's Manner… ’ÜõóV‹ ’Ü©ó7 ®Üō Excellent‹ ģÜóF7Ü;ōGood‹ /ÜFót7KÜpōFair‹ o܆ó¢7‹Ü·ōPoor‹ ŽÜõóŠ7$śÜ~ōNot Applicable *cõrLevelofConfidencŹ8v85Dc*/7. Level of Confidence in the Care You Received… ’õn‹ ’©7 ® Excellent‹ ģF7;Good‹ /Ft7KpFair‹ o†¢7‹·Poor‹ ŽõŠ7$ś~Not Applicable *d0öIę StaffsAbilitytoĖ8v85Pd1aI*88. Staff's Ability to Handle Your Questions and Concerns… “0öGz‹ “0ŖG7 Æ0H Excellent‹ ķ0GF7 0<HGood‹ 00GGt7L0qHFair‹ p0‡G¢7Œ0øHPoor‹ ß0öGŠ7$ū0HNot Applicable *d^öwf RespectShownforĢ8v858d_žw*!9. Respect Shown for Your Privacy… “^öub‹ “^Ŗu7 Æ^v Excellent‹ ķ^uF7 ^<vGood‹ 0^Gut7L^qvFair‹ p^‡u¢7Œ^øvPoor‹ ß^öuŠ7$ū^vNot ApplicableM sŅ+ź" H sŅĒź ExcellentHŽŅź.GoodH(ŅMźJFairHdŅźfPoorH$§Ņ+ź‚Not Applicableø i¬IÅ4 i­½Å Excellent4Ū­Å.Good42­WÅJFair4|¬ØÄfPoor4$ŬIĂNot Applicableø fÅ•ō4 fÅĄŻ 5 Minutes4 ×Å<Ż. 10 Minutes4 RÅ·ŻN 15 Minutes4 ĄÅ%Żn 20 Minutes4(0Å•ōŽ30 Minutes or Moreø ˜Źxć4 Ė=ćGood4iĖŽć*Fair4¹ŹåāFPoor4$ōŹxābNot Applicable4 ˜Ėģć† Excellent…JÖ",ę"R,oź ’’’0jd„Lv8D’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’šArialŒģ’ą’¼č’¼40Ø8I^Patient Satisfaction Survey4”BxĀPlease take a moment to mark your responses to the following questions. Please base your opinions on today's visit. Thank you.4<žQ¶4$BØāĒ Appointment: 8BÜ MakeApptÖv8Appointment15\BŽ% 8E1. Ability to make an appointment within a reasonable amount of time:… ‰Üõ”‹ ‰Ž õ7„ŽŲöGood‹ ķŽõB7 Ž.öFair‹ =ŽTõp7YŽ…öPoor‹ ‹Ż¢ōž7 §Żūõ Excellent‹ ÜóŠ7$Ü ōNot Applicable 8Bl“†RoutineAppointmentUv8Appointment1b5,Bn†8b. Routine Appointment:… "l“…d‹ "lĻ„7(>lĻ„ Within 5 Days‹ m¼…N7( m¼… Within 10 Days‹ įm™…ˆ7(żm™… Within 15 Days‹ ³m“…Ā7,Ļm“… More Than 15 Days 8B•’±CompletePhysicalv8Appointment1c5,B™±8c. Complete Physical:… "•’®d‹ "•Ł­7(>•Ł­ Within 4 Weeks‹ –»®N7( –»® Within 6 Weeks‹ į–˜®ˆ7(ż–˜® Within 8 Weeks‹ ³–’®Ā7(Ļ–’® More Than 8 Weeks 8BļB Abilitytosche‡v8Appointment25XBļ8@2. Ability to schedule an appointment at convenient time of day:… · B ‹ · Ī 7 Ó '! Excellent‹  / F74 g!Good‹ p ‡ t7Œ ±!Fair‹ Ä Ū ¢7ą  !Poor‹ + B Š7$G Ė!Not Applicable 8BB¶]UrgentAppointmentŃ0v8Appointment1a5,BE]8a. Urgent Appointment:… "B¶[d‹ "BÆZ7 >BÆZ Same Day‹ C†[F7 C†[ Next Day‹ įC¶[x7(żC¶[ More Than 2 Days4,B3How long did you wait? 8B*BFAmountofWaiting4v8Appointment25DB*ąB8,3. Amount of Waiting Time in Reception Area:… ·/BF|‹ ·/ĪF7 Ó/'G Excellent‹ //FF74/gGGood‹ p/‡Ft7Œ/±GFair‹ Ä/ŪF¢7ą/ GPoor‹ +/BFŠ7$G/ĖGNot Applicable 8E b;WaitTimeō4v8Appointment3a5TE  ;8?6. Approximate Amount of Time You Waited in the Reception Area:… Œ b#Œ‹ Œ £#7 Ø $ 5 Minutes‹  #F7$# ”$ 10 Minutes‹  ˜#|7$ $ 15 Minutes‹ ę ż#²7$ s$ 20 Minutes‹ K b#č7,g $$ 30 Minutes or More 8BSBlExamWaitingn5v8Appointment45<BSÄk8'4. Amount of Waiting Time in Exam Room:… ·UBlt‹ ·UĪl7 ÓU'm Excellent‹ U/lF74UgmGood‹ pU‡lt7ŒU±mFair‹ ÄUŪl¢7ąU mPoor‹ +UBlŠ7$GUĖmNot Applicable 8EGavExamTimeAõ4v8Appointment4a5PEG v8:7. Approximate Amount of Time You Waited in the Exam Room:… ŒGa^ˆ‹ ŒG£^7 ØG_ 5 Minutes‹ G^F7$#G”_ 10 Minutes‹ €G—^|7$œG _ 15 Minutes‹ åGü^²7$Gr_ 20 Minutes‹ JGa^č7,fG#_ 30 Minutes or More 8BzB•PhysicianTimeX6v8Appointment55@BzŽ’8+5. Amount of Time Physician Spent With You:… ·~B•x‹ ·~Ī•7 Ó~'– Excellent‹ ~/•F74~g–Good‹ p~‡•t7Œ~±–Fair‹ Ä~Ū•¢7ą~ –Poor‹ +~B•Š7$G~Ė–Not Applicable 8D}a¬AmtPhyTimeö4v8Appointment5a5LD}ł¬878. Approximate Amount of Time Physician Spent With You:… ‹}a”„‹ ‹}¢”7 §} • 5 Minutes‹ }”F7$"}“• 10 Minutes‹ €}—”|7$œ} • 15 Minutes‹ å}ü”²7$}r• 20 Minutes‹ J}a”č7,f}#• 30 Minutes or More4D²|ķ StaffĆ <RĮ<ˆi’’’Staff¢6<N c öwT *c õ#CourtesyofstaffK8v85@c č#**1. Courtesy of Staff When Taking Your Call… ’ õ!j‹ ’ ©!7 ® " Excellent‹ ģ !F7 ;"Good‹ / F!t7K p"Fair‹ o †!¢7‹ ·"Poor‹ Ž õ!Š7$ś ~"Not Applicable *c4õM~CourtesyofReceptL8v850c5XM*2. Courtesy of Receptionist… ’4õKZ‹ ’4©K7 ®4L Excellent‹ ģ4KF74;LGood‹ /4FKt7K4pLFair‹ o4†K¢7‹4·LPoor‹ Ž4õKŠ7$ś4~LNot Applicable *c^õwŽCareandConcernoĘ8v854c_{w*3. Care and Concern of Nurses… ’^õu^‹ ’^©u7 ®^v Excellent‹ ģ^uF7^;vGood‹ /^Fut7K^pvFair‹ o^†u¢7‹^·vPoor‹ Ž^õuŠ7$ś^~vNot Applicable *cˆõ”BXrayorUltrasounĒ8v85Dc‰õ”*,4. X-ray or Ultrasound technologist's Manner… ’ˆõŸn‹ ’ˆ©Ÿ7 ®ˆ  Excellent‹ ģˆŸF7ˆ; Good‹ /ˆFŸt7Kˆp Fair‹ oˆ†Ÿ¢7‹ˆ· Poor‹ ŽˆõŸŠ7$śˆ~ Not Applicable *c²õĖ¶LabTechniciansMČ8v850c³\Ė*5. Lab Technician's Manner… ’²õÉZ‹ ’²©É7 ®²Ź Excellent‹ ģ²ÉF7²;ŹGood‹ /²FÉt7K²pŹFair‹ o²†É¢7‹²·ŹPoor‹ Ž²õÉŠ7$ś²~ŹNot Applicable *cÜõõPhysiciansMannerÉ8v85,cŻ*õ*6. Physician's Manner… ’ÜõóV‹ ’Ü©ó7 ®Üō Excellent‹ ģÜóF7Ü;ōGood‹ /ÜFót7KÜpōFair‹ o܆ó¢7‹Ü·ōPoor‹ ŽÜõóŠ7$śÜ~ōNot Applicable *cõrLevelofConfidencŹ8v85Dc*/7. Level of Confidence in the Care You Received… ’õn‹ ’©7 ® Excellent‹ ģF7;Good‹ /Ft7KpFair‹ o†¢7‹·Poor‹ ŽõŠ7$ś~Not Applicable *d0öIę StaffsAbilitytoĖ8v85Pd1aI*88. Staff's Ability to Handle Your Questions and Concerns… “0öGz‹ “0ŖG7 Æ0H Excellent‹ ķ0GF7 0<HGood‹ 00GGt7L0qHFair‹ p0‡G¢7Œ0øHPoor‹ ß0öGŠ7$ū0HNot Applicable *d^öwf RespectShownforĢ8v858d_žw*!9. Respect Shown for Your Privacy… “^öub‹ “^Ŗu7 Æ^v Excellent‹ ķ^uF7 ^<vGood‹ 0^Gut7L^qvFair‹ p^‡u¢7Œ^øvPoor‹ ß^öuŠ7$ū^vNot ApplicableM sŅ+ź" H sŅĒź ExcellentHŽŅź.GoodH(ŅMźJFairHdŅźfPoorH$§Ņ+ź‚Not Applicableø i¬IÅ4 i­½Å Excellent4Ū­Å.Good42­WÅJFair4|¬ØÄfPoor4$ŬIĂNot Applicableø fÅ•ō4 fÅĄŻ 5 Minutes4 ×Å<Ż. 10 Minutes4 RÅ·ŻN 15 Minutes4 ĄÅ%Żn 20 Minutes4(0Å•ōŽ30 Minutes or Moreø ˜Źxć4 Ė=ćGood4iĖŽć*Fair4¹ŹåāFPoor4$ōŹxābNot Applicable4 ˜Ėģć† ExcellentkmŚ",ź"R,oź ’’’0jdųNv8D’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’šArialŒģ’ą’¼č’¼40Ø8I^Patient Satisfaction Survey4”BxĀPlease take a moment to mark your responses to the following questions. Please base your opinions on today's visit. Thank you.4<žQ¶4$BØāĒ Appointment: 8BÜ MakeApptÖv8Appointment15\BŽ% 8E1. Ability to make an appointment within a reasonable amount of time:… ‰Üõ”‹ ‰Ž õ7„ŽŲöGood‹ ķŽõB7 Ž.öFair‹ =ŽTõp7YŽ…öPoor‹ ‹Ż¢ōž7 §Żūõ Excellent‹ ÜóŠ7$Ü ōNot Applicable 8Cu”RoutineAppointmentUv8Appointment1b5,Cu8b. Routine Appointment:… 0u”d‹ 0uŻ7(LuŻ Within 5 Days‹ u½N7(!u½ Within 10 Days‹ āušˆ7(žuš Within 15 Days‹ “u”Ā7,Šu” More Than 15 Days 8C¢™ŗCompletePhysicalv8Appointment1c5,C¢ŗ8c. Complete Physical:… 0¢™ŗd‹ 0¢ķŗ7(L¢ķŗ Within 4 Weeks‹ ¢ĀŗN7(!¢Āŗ Within 6 Weeks‹ ā¢Ÿŗˆ7(ž¢Ÿŗ Within 8 Weeks‹ “¢™ŗĀ7,Š¢™ŗ More Than 8 Weeks 8FGJAbilitytosche‡v8Appointment25XFJ8@2. Ability to schedule an appointment at convenient time of day:… ¼G2‹ ¼Ó27 Ų,3 Excellent‹ 42F79l3Good‹ uŒ2t7‘¶3Fair‹ Éą2¢7å3Poor‹ 0G2Š7$LŠ3Not Applicable 8CF·^UrgentAppointmentŃ0v8Appointment1a5,CF^8a. Urgent Appointment:… 0F·^d‹ 0F½^7 LF½^ Same Day‹ F‡^F7 !F‡^ Next Day‹ āF·^x7(žF·^ More Than 2 Days4,B3How long did you wait? 8FVFrAmountofWaiting4v8Appointment25DFVän8,3. Amount of Waiting Time in Reception Area:… »[Fr|‹ »[Ņr7 ×[+s Excellent‹ [3rF78[ksGood‹ t[‹rt7[µsFair‹ Č[ßr¢7ä[sPoor‹ /[FrŠ7$K[ĻsNot Applicable 8F8bgWaitTimeō4v8Appointment3a5TF8 g8?6. Approximate Amount of Time You Waited in the Reception Area:… Œ8bOŒ‹ Œ8£O7 Ø8P 5 Minutes‹ 8OF7$#8”P 10 Minutes‹ 8˜O|7$8P 15 Minutes‹ ę8żO²7$8sP 20 Minutes‹ K8bOč7,g8$P 30 Minutes or More 8FF˜ExamWaitingn5v8Appointment45<FČ—8'4. Amount of Waiting Time in Exam Room:… »F˜t‹ »Ņ˜7 ׁ+™ Excellent‹ 3˜F78k™Good‹ t‹˜t7µ™Fair‹ Čß˜¢7䁙Poor‹ /F˜Š7$KĻ™Not Applicable 8Fsa¢ExamTimeAõ4v8Appointment4a5PFs ¢8:7. Approximate Amount of Time You Waited in the Exam Room:… ŒsaŠˆ‹ Œs£Š7 Øs‹ 5 Minutes‹ sŠF7$#s”‹ 10 Minutes‹ €s—Š|7$œs ‹ 15 Minutes‹ åsüŠ²7$sr‹ 20 Minutes‹ JsaŠč7,fs#‹ 30 Minutes or More 8F¦FĮPhysicianTimeX6v8Appointment55@F¦ā¾8+5. Amount of Time Physician Spent With You:… »ŖFĮx‹ »ŖŅĮ7 ×Ŗ+Ā Excellent‹ Ŗ3ĮF78ŖkĀGood‹ tŖ‹Įt7ŖµĀFair‹ ČŖßĮ¢7äŖĀPoor‹ /ŖFĮŠ7$KŖĻĀNot Applicable 8E©bŲAmtPhyTimeö4v8Appointment5a5LE©śŲ878. Approximate Amount of Time Physician Spent With You:… Œ©bĄ„‹ Œ©£Ą7 Ø©Į 5 Minutes‹ ©ĄF7$#©”Į 10 Minutes‹ ©˜Ą|7$©Į 15 Minutes‹ ę©żĄ²7$©sĮ 20 Minutes‹ K©bĄč7,g©$Į 30 Minutes or More4DŠ|  StaffĆ <U÷?Ęi’’’Staff¢6&&<N fHųµT *fHųaCourtesyofstaffK8v85@fIėa**1. Courtesy of Staff When Taking Your Call… •Hų_j‹ •H¬_7 ±H` Excellent‹ ļH_F7 H>`Good‹ 2HI_t7NHs`Fair‹ rH‰_¢7ŽHŗ`Poor‹ įHų_Š7$żH`Not Applicable *frų‹~CourtesyofReceptL8v850fs[‹*2. Courtesy of Receptionist… •rų‰Z‹ •r¬‰7 ±rŠ Excellent‹ ļr‰F7 r>ŠGood‹ 2rI‰t7NrsŠFair‹ rr‰‰¢7ŽrŗŠPoor‹ įrų‰Š7$żrŠNot Applicable *fœųµŽCareandConcernoĘ8v854f~µ*3. Care and Concern of Nurses… •œų³^‹ •œ¬³7 ±œ“ Excellent‹ ļœ³F7 œ>“Good‹ 2œI³t7Nœs“Fair‹ rœ‰³¢7Žœŗ“Poor‹ įœų³Š7$żœ“Not Applicable *fĘųßBXrayorUltrasounĒ8v85DfĒųß*,4. X-ray or Ultrasound technologist's Manner… •ĘųŻn‹ •Ę¬Ż7 ±ĘŽ Excellent‹ ļĘŻF7 Ę>ŽGood‹ 2ĘIŻt7NĘsŽFair‹ rʉŻ¢7ŽĘŗŽPoor‹ įĘųŻŠ7$żĘŽNot Applicable *fšų ¶LabTechniciansMČ8v850fń_ *5. Lab Technician's Manner… •šųZ‹ •š¬7 ±š Excellent‹ ļšF7 š>Good‹ 2šIt7NšsFair‹ rš‰¢7ŽšŗPoor‹ įšųŠ7$żšNot Applicable *fų3PhysiciansMannerÉ8v85,f-3*6. Physician's Manner… •ų1V‹ •¬17 ±2 Excellent‹ ļ1F7 >2Good‹ 2I1t7Ns2Fair‹ r‰1¢7Žŗ2Poor‹ įų1Š7$ż2Not Applicable *fDų]rLevelofConfidencŹ8v85DfE]*/7. Level of Confidence in the Care You Received… •Dų[n‹ •D¬[7 ±D\ Excellent‹ ļD[F7 D>\Good‹ 2DI[t7NDs\Fair‹ rD‰[¢7ŽDŗ\Poor‹ įDų[Š7$żD\Not Applicable *gnų‡ę StaffsAbilitytoĖ8v85Pgod‡*88. Staff's Ability to Handle Your Questions and Concerns… •nų…z‹ •n¬…7 ±n† Excellent‹ ļn…F7 n>†Good‹ 2nI…t7Nns†Fair‹ rn‰…¢7Žnŗ†Poor‹ įnų…Š7$żn†Not Applicable *gœųµf RespectShownforĢ8v858g”µ*!9. Respect Shown for Your Privacy… •œų³b‹ •œ¬³7 ±œ“ Excellent‹ ļœ³F7 œ>“Good‹ 2œI³t7Nœs“Fair‹ rœ‰³¢7Žœŗ“Poor‹ įœų³Š7$żœ“Not ApplicableM v. " H vŹ  ExcellentHį .GoodH+P JFairHg“ fPoorH$Ŗ. ‚Not Applicableø i¬IÅ4 i­½Å Excellent4Ū­Å.Good42­WÅJFair4|¬ØÄfPoor4$ŬIĂNot Applicableø kćš4 kćÅū 5 Minutes4 ÜćAū. 10 Minutes4 Wć¼ūN 15 Minutes4 Åć*ūn 20 Minutes4(5暎30 Minutes or Moreø œß|ų4ąAųGood4mą’ų*Fair4½ßé÷FPoor4$ųß|÷bNot Applicable4 œąšų† Excellent