Patient Survey

At OrthoMaryland, your expectations are important to us. Please take a moment to complete the following online survey. Once you are finished, click "submit." Thank you in advance for your time. We look foward to hearing from you.

1. Was this your first visit to OrthoMaryland? yes no
Please indicate your treating physician:

2. From the time of your initial phone call, how long did you wait to get an appointment?

3. Was this acceptable? yes no

4. Once you arrived for your appointment, how long did you wait to see the physician?

5. Was this acceptable? yes no

6. How were you referred to our practice?

Thinking about your visit to OrthoMaryland, please rate the following:
Key: P - Poor, F - Fair, G - Good, VG - Very Good, E - Excellent

7. Getting through to the office by phone.

8. The friendliness and courtesy of the staff.

9. Time spent with physician.

10. Explanation of procedure(s) performed.

11. Explanation of follow-up instructions.

12. The thoroughness and competence of the physician.

13. The friendliness and courtesy of the physician.

14. Would you recommend OrthoMaryland to a friend or family member? yes no

Please write any additional comments in the space below.
If you wish to be contacted regarding your responses, please include your name and phone number.

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