Patient Satisfaction Survey Please take a moment to rate our service Your feedback would help us serve better in the future. (This is just a sample survey and none of your data is stored through this survey) Enter a Sample Name Enter Sample Appointment ID How would you rate your appointment experience? Not Satisfied Satisfied How long did you have to wait? Not very long (10-20 minutes) Longer than usual (20-30 minutes) Very long (more than 30 minutes) Was the staff polite? Yes No Do you believe there are enough appointment times available? Yes, there are enough slots No, there can be more slots Did the payment options meet your expectations? Yes, there are enough payment options No, there can be more options Time is Up! Time's up
