Patient Experience SurveyHelp us improve our services to you by completing our Patient Experience Survey.

All responses are anonymous, so please be candid.

For each statement, please choose the number that best describes your feelings about the statement.

Please tell us how we are doing in the following areas listed below.

All fields marked with an (*) are required.

PATIENT EXPERIENCE SURVEY

Length of time to arrange an appointment(*)

Please select one.

Convenience of the office location(*)

Please select one.

Reaching the doctor’s office by phone during regular office hours(*)

Please select one.

Reaching the doctor after hours(*)

Please select one.

Length of time waiting in the office(*)

Please select one.

Time spent with the doctor/health care professional(*)

Please select one.

Explanation of your condition and/or the services provided(*)

Please select one.

Guidance with health management goals(*)

Please select one.

Technical skills (thoroughness, carefulness, competence) of the doctor/health care professional(*)

Please select one.

Demeanor (courtesy, respect, sensitivity, friendliness) of the doctor/health care professional(*)

Please select one.

Demeanor (courtesy, respect, sensitivity, friendliness) of the nursing staff(*)

Please select one.

Demeanor (courtesy, respect, sensitivity, friendliness) of the reception staff(*)

Please select one.

Providing details about new medications prescribed(*)

Please select one.

Providing details about lab results(*)

Please select one.

Providing details about imaging results(*)

Please select one.

Informing you about any necessary follow-up care(*)

Please select one.

Being aware of care you received from other doctors/providers(*)

Please select one.

Involving you in making decisions about your health(*)

Please select one.

Listening carefully and respectfully to you(*)

Please select one.

Your overall experience with this practice(*)

Please select one.

How would you rate your general health?(*)

Please select one.

Would you recommend this practice?(*)

Please select one.

How can we improve our services?
Please enter your questions or comments.

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840 Humboldt Parkway, Buffalo, NY

Hours of Operation

Monday | 9:00 AM - 5:00 PM
Tuesday | 9:00 AM - 5:00 PM
Wednesday | 9:00 AM - 5:00 PM
Thursday | 9:00 AM - 7:00 PM
Friday | 9:00 AM - 5:00 PM
Saturday | CLOSED
Sunday | CLOSED

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