Patient Survey

At The Foot Group LLC, we strive to offer the very best in patient care. In order to provide that care we turn to our patients for advice. Please take a moment to complete the patient survey below. We thank you in advance for your time and participation. The information below is confidential, and will only be used to improve our service.

Which Doctor did you see?: 

Which location were you seen at? 

How did you hear about us?

On a scale of 1 to 5, with 5 being “Great,” how would you rate your experience.

 1  2  3  4  5

Did you feel the doctor spent enough time with you and answered your questions?

 1  2  3  4  5

Did you understand what they were saying?

 1  2  3  4  5

Office staff kind, courteous & attentive?

 1  2  3  4  5

Did any one of our employees stand out to you?  Yes  No

What was their name?

How likely is it that you would recommend our office to your family members, co-workers, and friends?

 1  2  3  4  5

In your own words, let us know any issues or concerns you may have about our services or office practices and procedures: