Patient Survey

Thank you for choosing your care with Windsong Breast Care. In an effort of continually improving our patient’s experience we need your help. Windsong Breast Care would love to hear from you! If you were diagnosed and treated for breast cancer 6 months ago or longer please consider completing a patient survey. As a part of our continuous improvement process we are always looking at ways to improve our program so your input is so important.Please take a moment to rate your experience with our breast program.

Based on the scale 5 = Excellent, 4= Very Good, 3= Good, 2= Fair, 1=Poor


Patient Survey

Were you able to make an appoinment quickly and easily?
1
2
3
4
5
Was the scheduling staff friendly, knowledgeable and helpful?
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2
3
4
5
Upon arrival, was your registration performed quickly and efficiently?
1
2
3
4
5
Do you feel your visit was conducted professionally?
1
2
3
4
5
Overall, do you find the staff friendly, courteous and attentive?
1
2
3
4
5
How do you rate the comfort of your surrounding?
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2
3
4
5
Overall, how do you rate the quality of your care?
1
2
3
4
5
How do you rate the cleanliness of our facility?
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2
3
4
5
Upon arrival, was your registration performed quickly and efficiently?
Yes
No
Is there someone you would like to recognize for outstanding service or patient care?
Would you like someone to contact you? *
Yes
No
Name *
Phone *
Email *
Additional comments