Texas Ear, Nose, & Throat Specialists P.A. Patient Satisfaction Survey
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  Patient Satisfaction Survey
  Thank you for taking the time to complete our Patient Satisfaction Survey. It is our goal at Texas Ear, Nose, & Throat Specialists to provide you with the best possible medical care during each and every visit.
  Patient Information (Please note that this information is not required. By entering your information, you will be entered into our quarterly prize drawings.)
Patient Name
Date of Visit
 
 
  Location



 
 
  Doctor You Visited Today
 
 
  When phoning to make my appointment, my call was answered in a reasonable amount of time.
      
 
 
  I was able to schedule an appointment in a reasonable number of days.
      
 
 
  The person who scheduled the appointment was courteous and friendly.
      
 
 
  The waiting room, exam rooms, and restrooms were neat and clean.
      
 
 
  When I checked in, the receptionist was courteous and friendly.
      
 
 
  During my most recent visit, my wait time was acceptable.
      
 
 
  The nursing staff treated me with concern and respect.
      
 
 
  The audiologist treated me with concern and respect.
      
 
 
  My physician treated me with concern and respect.
      
 
 
  The checkout/billing representative was courteous and friendly.
      
 
 
  I would recommend Texas Ear, Nose, & Throat Specialists to my family and friends.
      
 
 
 
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