Patient Survey

We would like to know how you feel about the Marshall University Medical Center or our satellite offices. Your comments and suggestions are important and will help us improve our patient services. Please complete this confidential survey.

Physician / Provider Name:
Clinic Location:
Patient Name: (optional)
Patient E-mail Address: (optional)
Was this your first visit? Yes     No
Did you have a scheduled appointment? Yes     No
Will you return for additional care? Yes     No
Would you recommend us to a friend? Yes     No
How would you rate our staff?
Office Receptionist / Telephone Personnel:
Physician / Provider:
Waiting Time:
Overall Staff Rating:
How were you referred to the
Marshall University Medical Center?
If "Other", please explain:
Comments:


 
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