Patient Satisfaction Survey

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Contact
Book an Appointment

Post-Visit Patient Satisfaction Survey

* Indicates required field

Overall, how satisfied or dissatisfied were you with your last visit to our office? *

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

Overall, how would you rate the service you received from the staff at our office? *

Excellent Very Good Good Fair Poor

How comfortable was the lobby and waiting area? *

Extremely Comfortable Very Comfortable Moderately Comfortable Slightly Comfortable Not at all Comfortable

Did your appointment with your provider start early, late or on time? *

Very Early Somewhat Early On Time Somewhat Late Very Late

Overall, how would you rate the care you received from your provider? *

Excellent Very Good Good Fair Poor

How well did your provider explain your treatment options? *

Extremely Well Very Well Moderately Well Slightly Well Not Well At All

How likely is it that you would recommend your provider to a friend or colleague? *

Already Have! Very Likely Somewhat Likely Not Very Likely

How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs? *

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

Is there anything we could have done to improve your last visit? *

Submit

Contact Us
By Phone (204) 339-1738
By Fax (204 ) 338-6435

Unit 18-1399 McPhillips Street
Winnipeg, Manitoba R2V 3C4

Hours
Monday 8:30 am - 8:30 pm
Tuesday 8:30 am - 8:30 pm
Wednesday 8:30 am - 8:30 pm
Thursday 8:30 am - 8:30 pm
Friday 8:30 am - 4:30 pm
Saturday 8:30 am - 2:30 pm
Sunday CLOSED

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