Please take a few minutes to fill out this survey on the timeliness and quality of the service you received today.
Orthopaedic Specialists of Connecticut welcomes your feedback and your answers will be kept confidential.
Thank you for your participation.
When you scheduled an appointment, did you have to wait longer than expected for an appointment?
How would you prefer to give personal and insurance information?
Would have preferred filling out paperwork myself
Fill out on our website
Approximately how long did you wait on hold to speak to a scheduling staff member?
0 to 2 minutes
3 to 5 minutes
5 to 7 minutes
How would you rate the disposition of the person who scheduled your appointment?
How would you rate the staff’s disposition at the reception desk?
How long did you wait in the reception area beyond your scheduled appointment time?
0 to 5 minutes
5 to 10 minutes
10 to 20 minutes
How would you rate our concern for your privacy?
If you checked: Needs Improvement or Poor, please explain below:
Which Provider did you see today?
William Broadhurst, PA-C
Ana Cario, PT
Meg Fesh, PT
Pam Lehman, PT
Did you feel that your Provider spent an adequate amount of time with you?
Did you feel that your Provider’s examination was thorough?
Mark the boxes that characterize the demeanor of your Provider:
Were your questions answered to your satisfaction regarding your condition and/or treatment options?
Would you recommend this facility and its staff to your family and friends?
Please list any areas in which our service could be improved, along with any additional comments.
Patient Name: (optional)
Thank you for taking the time to fill out our survey. We rely on your feedback to help us improve our services. Your input is greatly appreciated!
In The News
60 Old New Milford Rd. Suite 3G Brookfield, CT 06804 • Phone: (203) 775-6205 • Fax: (203) 775-2373
Copyright © 2013 Orthopaedic Specialists of Connecticut. All Rights Reserved. Design and Digital Marketing Solutions provided by Horizon Marketing Group, Inc.