Exit this survey

Lowell General Hospital Center for Weight Management and Bariatric Surgery
Patient Satisfaction Survey

We are interested in learning about your patient experience with Lowell General Hospital's Center for Weight Management and Bariatric Surgery.

Please indicate your score of the following questions using a scale of 1 to 5, with 1 being the lowest (completely disagree) and 5 being highest (completely agree).

1

When you called for an appointment,  the person answering the phone was friendly and courteous.

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
2
Please indicate the date in which you called for an appointment.
MM DD YYYY HH MMAM/PM
Date
/
/
 
:

When you arrived at the office, the receptionist was:

3
Friendly and courteous
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
4
Helpful
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree

The physical layout of the office is sensitive to the needs of the obese patient, in terms of:

5
Appropriately sized chairs
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
6
Wide doorways
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
7
Appropriate scale
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
8

Appropriate bathroom facilities

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
9

The amount of time spent in the reception area and exam room before seeing the provider was acceptable.

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
When you were called to the exam room, the Nurse/Medical Assistant was:
10

Friendly and courteous

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
11

Competent and professional

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
12

Empathetic and caring

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree

During your exam or consult, the Provider was:

13

Friendly and courteous

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
14

Competent and professional

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
15

Empathetic and caring

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
16

The Provider spent an appropriate amount of time with you, answering your questions and explaining surgical procedures.

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
17

The Provider discussed with you in detail the need for surgery and/or recommended procedures.

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree

In your discussions regarding nutrition, diet, vitamins, etc., the Provider or staff member was:

18
Friendly and courteous
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
19

Competent and professional

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
20

Empathetic and caring

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree

When contacting or speaking with our billing/insurance department, our staff was:

21
Friendly and courteous
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
22
Helpful
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
23
Knowledgeable
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
24
Prompt in returning calls
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
25
Your expectations for progress and results have been met.
Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
26
You are satisfied with your post-operative and follow-up care.
Completely DisagreeSomewhat DisagreeAgreeSomewhat AgreeCompletely Agree
27

Practice and support group meetings are helpful as a part of your weight loss plan.

Completely DisagreeSomewhat DisagreeAgreeStrongly AgreeCompletely Agree
28
Additional Comments:
Powered by SurveyMonkey
Check out our sample surveys and create your own now!