FEEDBACK | Bay Area Family Physicians

FEEDBACK

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Physician or facility visited

Over the last five years, how often have you seen this doctor?

Today's visit is mainly for :New ConcernOngoing ConcernExamination

Based on the MOST RECENT VISIT to your doctor

1. Your doctor adequately explained your treatment choices.Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

Based on ALL YOUR VISITS to your doctor's office, how do you feel about your doctor's attitude and behavior towards you? My doctor:

2. Spends enough time with me and shows interest in my problems.Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

3. Asks details about my personal life, when appropriateStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

4. Answers my questions well regarding my office visit.Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

How do you feel that your doctor runs his or her practice?

Telephone

5. It is easy to reach the office by phone during the day.Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

Staff

6. Is helpful and pleasantStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

7. Is respectful of patients and behaves in a professional mannerStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

Office Practices

8. I can get an appointment quicklyStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

9. Someone from my doctor's office follows-up on any serious problems I may haveStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

General

10. My physician talks to me about preventative care (e.g. quitting smoking, weight control, sleeping, alcohol, exercise, etc.)Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

11. I would go back to this doctorStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

12. I would send a friend to this doctorStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeUnable to Assess UA

Contact Us

Same Day Appointments are Available.

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Phone

(586)725-1770

Emergency: 911

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Address

34301 23 Mile Road #100

New Baltimore, MI 48047

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EMAIL

contact@bayareafp.com

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