Thank you for participating in this survey!

Please tell us how we are doing. Your responses will help us meet the needs of our patients and assure that we continue to give you excellent care when we move to our new location.

  1. What physician or practitioner did you see?
  2. What was the date of your appointment?
  3. Did you make an appointment? Yes No
  4. If you made the appointment, please rate the ease and convenience in scheduling an appointment with University Women's HealthCare:
    Excellent Very Good Good Fair Poor
  5. Rate the convenience of our patient hours:
    Excellent Very Good Good Fair Poor
  6. Friendliness and courtesy of the staff:
    Excellent Very Good Good Fair Poor
  7. Quality of care provided by the physician or practitioner:
    Excellent Very Good Good Fair Poor
  8. Communication with physician or practitioner:
    Excellent Very Good Good Fair Poor
  9. Information from tests relayed in a timely manner:
    Excellent Very Good Good Fair Poor
  10. Satisfaction with facility and medical equipment used:
    Excellent Very Good Good Fair Poor
  11. Would you recommend University Women HealthCare to others?
    Definitely Yes Probably Yes Probably No Definitely No
  12. How can we improve our services?
Would you like feedback or follow up? If so, please tell us how to contact you.
Your Name:
Your Phone Number:
Your Email Address:
Verification Code:
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