Bardmoor | Clearwater | Palm Harbor
Safety Harbor | St. Petersburg | Trinity
www.urologyspecialistsflorida.com

 
   
         
 

Patient Satisfaction Report Card

We want to provide the best quality medical care possible. To do that, we need your feedback to help us improve. Please complete this form and send it by clicking the submit button below.

How did you first hear of us?

Friend/Relative

If a doctor referred you, please list his or her name so we may thank him or her for the referral.

Level of Satisfaction
Very Satisfied
Somewhat Satisfied
Not at all satisfied
       
The doctor's explanation of your medical problem
The amount of time the doctor spent with you
The doctor's genuine concern for you and your problem
The ease of making an appointment

The friendliness and courtesy shown by the front
office staff

Amount of time you spent in the office waiting to be seen
Convenience of office location
How phone calls are handled
The overall care provided to you

How likely would you be to recommend the clinic to a friend?


Do you think our clinic is the best place to go compared to other clinics
in the area?


What is your age?


Sex:

Thank you for the privilege of caring for you.

 

 

Home | Administration | Locations: Urology Specialists of West Florida 1 in Clearwater, Bardmoor, Palm Harbor | Urology Specialists of West Florida 2 - Urology Consultants in Safety Harbor, Trinity, Tampa | Urology Specialists of West Florida 3 in New Port Richey, Tampa, Trinity, Palm Harbor | Urology Specialists of West Florida 4 - Pinellas Urology in St. Petersburg | Urology Specialists of West Florida Radiation Oncology Center in Clearwater | Our Doctors | Patient Education for Urology Conditions | Post-Operative Instructions for Urology Patients | Latest Technology for Urological Conditions | Urology Specialists of West Florida In the News

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