Tejas Ear, Nose and Throat

Patient Satisfaction Survey

How did we do? Your comments will help us improve our level of service to better meet your needs. We appreciate your input.

General Information
Name:
Email:
Phone:
Date of Visit:
  
  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
First Contact
Was your call answered in a reasonable amount of time?
Was the recipient of your call friendly and professional?
Did you get your appointment within a reasonable time period?
  
Reception Area
Did you find the reception area clean and comfortable?
Did you find the reading materials interesting?
Did you find the wait to be reasonable?
  
Exam Room
Did you find the exam room to be clean and comfortable?
Did you find the wait to be reasonable?
  
Did You Find Our Receptionist:
Professional?
Knowledgeable?
Courteous?
Greeted you in a friendly and professional manner?
Comments:
  
Did You Find Our Nurse:
Professional?
Knowledgeable?
Courteous?
Answered all your questions to your satisfaction?
Comments:
  
Did You Find Our Office Administrator/Billing Specialist:
Professional?
Knowledgeable?
Courteous?
Explained all your benefits clearly?
Comments:
  
Did You Find Our Surgery Scheduler:
Professional?
Knowledgeable?
Courteous?
Explained all your benefits clearly?
Comments:
  
Did You Find Our Audiologist:
Professional?
Knowledgeable?
Courteous?
Answered all your questions to your satisfaction?
Administered treatment to your satisfaction?
Comments:
  
Did You Find Our Physician:
Professional?
Knowledgeable?
Courteous?
Answered all your questions to your satisfaction?
Administered treatment to your satisfaction?
Comments:
  
Overall Experience
Did you find our facilities clean and comfortable?
Did you find our staff to be professional?
Did you find our quality of service to be good?
Would you recommend Tejas Ear, Nose and Throat to a friend? Yes No
Overall Comments:
  
 
Tejas Ear, Nose and Throat, P.A.
Round Rock Physicians Plaza
2300 Round Rock Avenue, Suite 203
Round Rock, Texas 78681
tel 512.255.8070
fax 512.255.9060
Copyright © Tejas Ear, Nose and Throat. All Rights Reserved.   |   Site Design
Tejas Ear, Nose and Throat, P.A. offers and maintains this Web site to provide information of a general nature about the conditions requiring the services of an Otolaryngologist. The information is provided with the understanding that Tejas Ear, Nose and Throat, P.A. is not engaged in rendering surgical or medical advice or recommendations. Any information in the publications, messages, postings, or articles on this Web site should not be considered a substitute for consultation with a board certified Otolaryngologist to address individual medical needs. Individual facts and circumstances will determine the treatment that is most appropriate. This information is meant for residents of the state of Texas and any others who read it do so at their own risk.