Survey

Longevity Medical values your feedback as we strive to provide an outstanding customer experience.

Please take a few minutes to fill out our confidential survey.  Thank You.

  1. Age:
  2. Gender: MaleFemale



EASE OF GETTING CARE

  1. Ability to get in to be seen:

    54321
  2. Hours Center is open:

    54321
  3. Convenience of Center's location:

    54321
  4. Prompt return on calls:

    54321



WAITING

  1. Time in waiting room:

    54321
  2. Time in exam room:

    54321
  3. Waiting for tests to be performed:

    54321
  4. Waiting for test results:

    54321



PROVIDER

  1. Listens to you:

    54321
  2. Takes enough time with you:

    54321
  3. Explains what you want to know:

    54321
  4. Gives you good advice and treatment:

    54321



NURSES AND MEDICAL ASSISTANTS

  1. Friendly and helpful to you:

    54321
  2. Answers your questions:

    54321



PAYMENT

  1. What you pay:

    54321
  2. Explanation of charges:

    54321
  3. Collection of payment/ money:

    54321



FACILITY

  1. Neat and clean building:

    54321
  2. Ease of finding where to go:

    54321
  3. Comfort and Safety while waiting:

    54321
  4. Privacy:

    54321


The likelihood of referring your friends and relatives to us:

54321

Do you consider this center your regular source of care?

54321

What do you like best about our center?

What do you like least about our Center?

Suggestions for improvement?


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