Patient Survey - Office

This survey will remain anonymous unless you wish to replace the First Name, Last Name, and Email with your own information.

IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, CALL 911. MEDICAL QUESTIONS/INFORMATION, APPOINTMENT REQUESTS, SYMPTOM NOTIFICATIONS, ETC. SHOULD NOT BE SUBMITTED THROUGH THIS WEBSITE.

This website feature is for feedback purposes & general inquiries only. Correspondence may not be processed daily, and is not reviewed after business hours or on the weekends. For any non-emergency medical needs or questions please contact the office directly at 972-284-7000. Thank you.

Title DRMISSMRMRSMS

First Name *

Last Name *

Email Address *

Who is your appointment with today?

When you scheduled your appointment, did you have to wait longer than expected to be seen? No Yes

How easy was it to make an appointment by telephone? -- Please select --Very easyEasyDifficultVery Difficult

How long did you wait to speak to a scheduling staff member? -- Please select --0 to 2 minutes3 to 5 minutes5 to 7 minutesLonger

Was the person who scheduled your appointment courteous and helpful? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

How would you rate the courtesy and competence of the staff at the reception desk/check-in staff? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

How woulod you rate the courtesy and competence of the staff at the check-out desk? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

How would you rate the courtesy and competence of the nurse/medical assistant who roomed you? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

How would you rate the courtesy and competence of the lab technician who assisted you? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

Was the lab technician that assisted you a HealthCore or LabCorp employee? HealthCore (wears blue top and black pants) LabCorp (does not wear HealthCore uniform)

How easy was it to reach your nurse's voicemail? -- Please select --Very easyEasyDifficultVery difficult

How long did you wait for your nurse to return your call? -- Please select --Less than 4 hours4-8 hoursSame day but after 4:00Next day or later

Was the nurse who returned your call courteous and helpful? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

How would you rate the competence of the nurse who helped you? -- Please select --OutstandingGoodAdequateNeeds improvementPoorN/A

How would you characterize the concern the nurse showed for your problem? -- Please select --OutstandingGoodAdequateNeeds ImprovementPoorN/A

Would you recommend this facility and its staff to your family and friends? Yes No

Please list any areas in which our service could be improved.

Please share any additional comments.

Would you like someone to contact you regarding your responses on this survey? Yes No

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