Survey

 

“All of us at Schaumburg Immediate Care would like to personally thank you for giving us the opportunity to serve you. We appreciate your business and are constantly striving for ways to improve our facility and service in the hopes we exceed your expectations. Please take the survey below to improve your next visit.”


1. Were you greeted in a friendly manner by the front desk?
    YesNo


2. Were you greeted in a friendly manner by the Doctor?
    YesNo


3. How would you rate the waiting time of your visit?
    Very GoodGoodFairPoorVery Poor


4. How would you rate the efficiency of the medical assistants?
    Very GoodGoodFairPoorVery Poor


5. How would you rate the efficiency of the Doctor?
    Very GoodGoodFairPoorVery Poor


6. Would you recommend Schaumburg Immediate Care to others?
    YesNo


Your Name


Email Address


7. What can we do to improve your next visit?