Jacksonville, Florida, family healthcare and local doctors offices
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Patient Satisfaction Survey

The physicians and staff at each Family Medical Center throughout the Jacksonville area strive to deliver quality healthcare and service to every single patient we see. Serving your needs is our first priority. We value your feedback and carefully review all suggestions. Be assured all comments will be handled in a confidential manner.

Our goal is to not only meet your expectations, but to exceed them. Please help us to better serve you by completing this brief survey.

Name:

Email:

Phone:

Location:

How would you rate us?
Poor    Good    Very Good    Excellent

Did the staff greet you properly?
Yes    No   

Did you have to wait over 15 minutes past your appointment time to be seen? If so how long?
15-30 minutes    30-45 minutes    45-60 minutes    Over 60 minutes   

Were your financial arrangements or insurance coverage’s discussed to your satisfaction?
Yes    No    Somewhat    Not Applicable   

Enter your comments in the space provided below: