MIMG Patient Survey
We appreciate your feedback. Please tell us what you think. Your input will be used to improve the service we provide.
Gender
Male
Female
What is your age?
18-29
30-39
49-49
50-59
60-69
Over 70
The questions below are to guage how we are doing in meeting your needs to your satisfaction. Please rate our service based on a scale of 1 to 5, with 1 being very unsatisfied and 5 being very satisfied.
The office staff were professional, courteous and helpful during my visit.
1
2
3
4
5
The practioner I met with was knowledgeable and helpful.
1
2
3
4
5
The practioner I met with communicated with me effectively, and all my questions were answered.
1
2
3
4
5
When evaulating your health care service, what are the factors important to you?
Overall, how satisfied are you about the quality of care from MIMG?
1
2
3
4
5
Thank you for completing our survey. If you have any questions, please enter them below.