Chiropodist - Timmins
100 Waterloo Rd. P4N 4X5

The Hollinger Court
(705) 268-3338 or (705) 268-6784

How Are We Doing?


Please take a few minutes to fill out this survey on the timeliness and quality of the service you received today. Rainville Chiropody Professional Corporation welcomes your feedback and your answers will be kept confidential. Thank you for your participation.

 

General Patient Information

 

In general, what is the quality of your health?
Outstanding Good Some chronic issues Poor

How would you rate our concern for your privacy?
Outstanding Good Adequate Needs improvement N/A

How often have you visited our clinics within the past year?
First Visit 2-5 Visits More than 6

 

Scheduling Your Appointment

 

Did you schedule an appointment by phone or did you drop in?
Scheduled by phone Dropped in

If you scheduled an appointment, did you have to wait longer than expected to get scheduled?
Yes No

How easy was it to make an appointment by telephone?
Very easy Very difficult

How long did you wait to speak to a scheduling staff member?
0 to 2 minutes 3 to 5 minutes 5 to 7 minutes Longer

Was the person who scheduled your appointment courteous and helpful?
Very courteous Rude

If you were seeking a referral to a specialist, was your request handled in a timely manner?
Yes No

 

Day of Your Appointment

 

How would you rate the courtesy of the staff at the reception desk?
Very courteous Rude

How long did you wait in the reception area beyond your scheduled appointment time?
0 to 5 minutes 5 to 20 minutes 20 to 40 minutes Other

How long did you wait in the exam room before the physician appeared?
0 to 5 minutes 5 to 20 minutes 20 to 40 minutes Other

 

The Chiropodist

 

Were you able to see the Chiropodist of your choice?
Yes No N/A

Did you feel that your Chiropodist spent an adequate amount of time with you?
Yes No N/A

Mark the boxes that characterize the demeanor of your Chiropodist:
Attentive Concerned Friendly Distracted Rushed Inconsiderate

How would you rate the competence of your Chiropodist?
Outstanding Good Adequate Needs improvement Poor N/A

Did you feel that your Chiropodist's examination was thorough?
Yes No N/A

Please rate the clarity of the Chiropodist‘s explanation of your condition and treatment options:
Outstanding Good Adequate Needs improvement Poor N/A

How well did your Chiropodist include you in healthcare decisions?
Outstanding Good Adequate Needs improvement Poor N/A

Were your questions answered to your satisfaction?
Yes No N/A

Would you recommend this facility and its staff to your family and friends?
Yes No N/A

 

The Orthotic Lab Technician

 

How would you rate the professionalism and competence of the lab technician?
Outstanding Good Adequate Needs improvement Poor N/A

Mark the boxes that characterize the demeanor of the lab technician:
Attentive Concerned Friendly Distracted Rushed Inconsiderate

Was the service prompt, and courteous?
Outstanding Good Adequate Needs improvement Poor N/A

 

Additional Feedback

 

Please list any areas in which our service could be improved.

Please share any additional comments.

 

Personal Information

 






Would you like someone to contact you regarding your responses on this survey?
Yes No