Patient Survey

Date of last vist:

Was this your first vist?: Yes No

Please select the provider you saw on this visit:

Our scheduling process:
When contacting the office, the phone staff was pleasant.
It was easy to schedule an appointment within a reasonable amount of time.
The information I received prior to my visit was helpful.
If you had surgery, was the surgery scheduling process convenient, clear and informative?

Suggestions and Comments

Upon Arrival:
I was greeted and registered promptly.
The registration staff was courteous and helpful.
The forms I was asked to complete were easy to understand.
My wait time was reasonable.

Suggestions and Comments

Our Facility:
The office is in a convenient location.
The parking area is convenient.
The waiting area is comfortable.
The office decor is attractive and cheerful.
I was satisfied with the quality of food at the café.
The café was clean.
The café staff was courteous and helpful.

Suggestions and Comments

Our Providers:
My wait time in the exam room was reasonable.
My provider gave me his complete attention.
My provider explained my treatment options thoroughly.
My provider was courteous and friendly.

Suggestions and Comments

Our Billing Procedure:
The staff obtained any authorizations or pre-certifications necessary.
The billing staff was courteous.
All my insurance questions were answered so that I clearly understood my coverage.
My billing statements are easy to understand.

Suggestions and Comments

Your Privacy:
The staff maintained my personal privacy during my visit (changing area gown, etc.)
The staff maintained the privacy of my medical information.

Suggestions and Comments

Overall Satisfaction:
Overall, I am very confident in the care I received from Sierra Pacific Orthopedics.
I will recommend Sierra Pacific Orthopedics to my friends and family.

Suggestions and Comments

Your gender:

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What do you like best about our practice?

What do you like least about our practice?

Would you like to share any final comments or suggestions?

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Sierra Pacific Orthopedics
Appointment Line: (559) 256-52000