Occupational Health Services Patient Satisfaction Survey

Our mission at Occupational Health Services is to provide the highest quality of care and service possible. We are requesting your honest and sincere feedback related to your experience with our service. Your feedback will assist us in improving the service and care we provide.

Please be assured all information you share will remain confidential.

Feedback

Questions	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree
Scheduling appointments is timely, convenient, and efficient	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree
I was greeted at Occupational Health Services in a friendly, courteous, and respectful manner	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree
The waiting room environment is clean, comfortable, and inviting	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree
I received skilled, compassionate, and professional care	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree
My clinic experience was efficient, and organized	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree
If it were possible, and the need existed I would refer family and friends to this service without hesitation	Agree	Somewhat Agree	Neutral	Somewhat Disagree	Disagree

Additional comments or suggestions:

Would you like clinic leadership to contact you to discuss your experience?

Yes

If Yes, please indicate the best time to contact you, and your contact information below.

Contact Information

Name

Phone Number

Email Address

Best time to contact

Morning

Afternoon