At Family Foot & Leg Center, we are constantly looking to improve the service we provide our patients. Your feedback is instrumental in helping us achieve our goal – Another Happy Patient!

Please take a moment to complete the following clinic visit survey:

How was your doctor today at each of the following? (1=poor, 5=excellent)

Please Select 1 2 3 4 5
a. being polite
b. making you feel at ease
c. listening to you
d. professionalism and clinical knowledge

On a scale of 1-5 how satisfied were you in scheduling your appointment? (1=poor, 5=excellent)

On a scale of 1-5 how satisfied were you with the wait time in the lobby? (1=poor, 5=excellent)

On a scale of 1-5 how satisfied were you with the cleanliness of the office? (1=poor, 5=excellent)

On a scale of 1-5 how satisfied were you with the service provided to you at CHECK IN? (1=poor, 5=excellent)

On a scale of 1-5 how satisfied were you with the service provided to you at CHECK OUT? (1=poor, 5=excellent)

On a scale of 1-5 how likely are you to recommend Family Foot & Leg Center to your family, friends, or neighbors? (1=not likely, 5=very likely)