Patient Survey
Tell us about your experience

Appointment Scheduling

1. Courtesy of the Schedulers:

Poor Fair Average Good Excellent

2. Length of time until your appointment from the day you scheduled:

Poor Fair Average Good Excellent

Waiting Area

1. Cleanliness of Reception Area:

Poor Fair Average Good Excellent

2. Length of wait in the reception area:

Poor Fair Average Good Excellent

Clinical/Xray/Casting Staff

1. Courtesy of the Nursing Staff:

Poor Fair Average Good Excellent

2. Courtesy of the Xray Staff:

Poor Fair Average Good Excellent

Your Physician

1. Courtesy of your Physician:

Poor Fair Average Good Excellent

2. Ability to have all of your questions answered by the Physician:

Poor Fair Average Good Excellent

3. Treatment you received from your physician:

Poor Fair Average Good Excellent

Check Out

1. Courtesy of the check out staff:

Poor Fair Average Good Excellent

2. Ease of scheduling your next appt and/or test:

Poor Fair Average Good Excellent


Patient Name: (optional)

Which Physician did you see?

Would you recommend us to others? Yes No

If one thing about today’s visit could be improved, what would it be?



Additional Comments:

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Located:
356 24th Avenue North, Ste 200
Nashville, TN
Phone:
(615) 329-2225
Fax:
(615) 329-3242

Nashville Orthopaedic Specialists is
committed to providing the highest
quality, patient-centered orthopedic care,
in a friendly, attentive, and caring
partnership with our patients, referral
sources, case managers, and insurers.