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The Center for Bone and Joint Surgery is dedicated to providing premium service to all of our patients. We appreciate any feedback that will help us in our goal to improve the patient experience.
Please take the time to complete the following satisfaction survey and let us know how we're doing. We appreciate your feedback. Thank you for trusting us with your care.
Sincerely,
The Staff at CBJ
1
Which physician was your appointment scheduled with?
Harvey Montijo, MD
Garvin Yee, MD
Mark Waltez, MD
Veronica Pedro, MD
José Ortega, MD
Jorge Acevedo, MD
Robert Lins, MD
Robert Rochman, MD
Nicholas Sama, MD
David Simpson, MD
Dana Desser, MD
Which physician was your appointment scheduled with?
2
Did you see the Physician's Assistant during your visit?
Yes, I saw the Physician's Assistant and was also seen by my physician.
Yes, I was only seen by the Physician's Assistant.
No, I was seen by just my physician.
Did you see the Physician's Assistant during your visit?
3
How did you hear about us?
Relative/Friend
Referral (Physician)
Referral (Work Comp)
Referral (Attorney)
Wellington Regional Medical Center (ER)
Palms West Hospital (ER)
Bethesda Memorial Hospital (ER)
St. Mary's Hospital (ER)
Community Seminar
Wellington Regional Newsletter
Magazine or Newspaper Advertisement
Commercial
Television Editorial
Yellow Pages
Article
Other
How did you hear about us?
4
Please specify your source.
Please specify your source.
5
I am:
I am:
Male
Female
6
I am:
I am:
18 & Under
18-25
26-35
36-50
51-65
65 & Above
7
I am:
I am:
Asian/Pacific Islander
African- American
Caucasian
Hispanic
Native American/Alaska Native
Other/Multi-Racial
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