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Kimball Health Services

Survey - Specialist Clinics

Kimball Health Services wants to provide the best possible service to you, our patient. Please help us better serve you by completing the survey. Feel free to express your opinions frankly.
After each statement, please select the letter which reflects your satisfaction/opinion. E=Excellent, G=Good, F=Fair, P=Poor.
If you had no experience with a particular item, skip to the next one. Also feel free to comment on any posiitive or negative experience you might have had.
* Helpfulness
Helpfulness of the person who helped you arrange an appointment.		 E     G     F     P    
* Ease
Ease of getting an appointment.		 E     G     F     P    
* Helpfulness
Helpfulness of the person at the registration desk.		 E     G     F     P    
* Billing
Billing and insurance questions were handled effectively.		 E     G     F     P    
* Explanation
Explanation of my financial obligations.		 E     G     F     P    
* Waiting Time
My waiting time during check in.		 E     G     F     P    
* Waiting Time
My waiting time in the exam room.		 E     G     F     P    
* Professionalism
Professionalism of the staff.		 E     G     F     P    
* Time
How much time did the provider spend with you?		 30min.     20min.     15min.     10min.     5min.    
* Follow-up
My follow-up instructions were communicated clearly.		 E     G     F     P    
* Decor
Decor and cheerfulness of the outpatient area.		 E     G     F     P    
* Cleanliness
Cleanliness of the outpatient areas.		 E     G     F     P    
  Treatment
If you recall the name of your provider, please indicate who treated you and/or which clinic you were here for.
  Comments
List any comments regarding the provider you saw:
  Lab (if applicable)
Waiting time in the lab area.		 E     G     F     P    
  Lab Personnel
I was met with courtesy and respect by the lab personnel.		 E     G     F     P    
  Radiology (if applicable)
Waiting time in the radiology area.		 E     G     F     P    
  Radiology Personnel
I was met with courtesy and respect by the radiology personnel.		 E     G     F     P    
  Comments
List any other comments you might have:
* Reccommend
Would you reccommend our facility to others:		 yes     no    
* Pleasing
Was there any particular thing or person who made your visit especially pleasing?