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Specializing in Orthopaedic Surgery and Sports Medicine for Western Colorado

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Patient Satisfaction Survey

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Patient Satisfaction Survey

Western Slope Orthopaedics Patient Satisfaction Survey

Ease of Getting Care*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Ability to get in to be seen
Hours Center is open
Convenience of location
Prompt return on calls

Waiting:*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Time in waiting room
Time in exam room

Staff/Providers:*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Listens to you
Takes enough time with you
Explains what you want to know
Gives you good advice and treatment

Staff/Nurses and Medical Assistants*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Friendly and helpful to you
Answers your questions

Staff/All Others*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Friendly and helpful to you
Answers your questions

Payment*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
What you pay
Explanation of charges
Collection of payment/money

Facility*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Neat and clean building
Ease of finding where to go
Comfort and safety while waiting
Privacy

Confidentiality*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Keeping my personal information private

Office*

How well are we doing in the following areas?

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
Ease of completing paperwork
Ease of navigating website
Phone access to staff
Courteousness/professionalism of staff
Overall appearance of office

The likelihood of referring your friends and relatives to us*

	Great	Good	OK	Fair	Poor
	Great	Good	OK	Fair	Poor
The likelihood of referring your friends and relatives to us

What do you like best about our center?

What do you like least about our center?

Suggestions for Improvement?

Would you like us to contact you?

Yes

No

First Name

(optional)

Last Name

(optional)

Email Address

(optional)

Success! Your survey has been submitted.

Thank you for completing Western Slope Orthopaedics Patient Satisfaction Survey.

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Patient Satisfaction Survey

We want to hear about your experience at Western Slope Orthopaedics so that we can better serve you. Click here to take the quick survey!

Employment Opportunities

Are you interested in working for Western Slope Orthopaedics? Click here to find out more about employment opportunities.

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