Patient Survey
Tell us about your experience

Patient Satisfaction Survey Patient Satisfaction Survey Patient Satisfaction Survey Patient Satisfaction Survey Patient Satisfaction Survey Patient Satisfaction Survey
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


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