Steven Meckstroth, M.D. - Manuel F. Bustamante, M.D. - William Gonzalez, PA-C - Karina Hooper, PA-C

 

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How are we doing?

Please take a few minutes to fill out this survey on the timeliness and quality of the services you received today. Gastroenterology Specialists of Southwest Florida, P.A. welcomes your feedback and your answers will be kept confidential. Thank you for your participation.

 

Schedule Your Appointment

 

If you scheduled an appointment, did you have to wait longer than expected to get scheduled?

 
No
Yes
If yes, how long?

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

Schedule 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
Longer

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

Schedule Your Appointment

How would you rate the competence of the nurse who helped you?

 
Outstanding
Good
Adequate
Needs Improvement
Poor
N/A

If you left a message for the nurse, did he or she return your call within a reasonable period of time?

 
Yes
No
If no, how long did it take?

Schedule Your Appointment

Which Doctor / PA did you see?

Dr. Steven A. Meckstroth, MD



Were you able to see the doctor of your choice?

 
Yes
No
N/A

Did you feel that your doctor spent an adequate amount of time with you?

 
Yes
No
N/A

Mark the boxes that characterizes the demeanor of your doctor?

 
Attentive
Concerned
Friendly
Distracted
Rushed
Inconsiderate

How would you rate the competence of your doctor?

 
Outstanding
Good
Adequate
Needs Improvement
Poor
N/A

Did you feel that your doctor's examination was thorough?

 
Yes
No
N/A

Please rate the clarity of the doctor's explanation of your condition and treatment options:

 
Outstanding
Good
Adequate
Needs Improvement
Poor
N/A

Would you recommend this facility and its staff to your family and friends?

 
Yes
No
N/A

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

Please share any additional comments.

 

Schedule Your Appointment

 

Would you like someone to contact you regarding your responses on this survey?

 
Yes
No

 

If yes, Please fill in your name and phone number below.

 

First Name:

 

Last Name:

 

Telephone:

 

 

 

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.