Patient Satisfaction Survey

Thank you for your trusting Digestive Disease Associates. In an effort to help us continue to provide patient-centered care, please complete this survey and let us know about your experience. Simply fill out the form below and click submit when you are done. We do not ask for your identity on this form.

Please specify the physician that you have seen:

Please specify the location you have visited:

Promptness in scheduling of your appointment:

Friendliness of staff

Physician:

Office staff:

General Office Visit

Promptness of answering phone:

Promptness of nurse or physician returning your phone call:

Time spent waiting in our office:

Overall comfort with our office staff:

Tests and procedures explained in understandable terms:

Explanation of your illness and treatment:

Our staff's understanding of your insurance benefits:

Convenience of our office hours:

Convenience of our office locations:

Amount of time waiting for the physician:

Professional manner of our staff:

Your overall visit:

What suggestions do you have that might help us serve you better?

Please type in the letters you see in this image in the space provided below.