Patient Satisfaction
Dear Patient: According to our records, you recently visited the provider named above. Please tell
us your opinion about the service you received from this provider. Your responses will be kept
strictly confidential. Thanks for your help.
us your opinion about the service you received from this provider. Your responses will be kept
strictly confidential. Thanks for your help.
Need a scale from – Excellent (5) – Good (4) – Fair (3) – Average (2) – Poor (1) – N/A (0)