We appreciate the opportunity to serve you and your family through our medical practice! As a patient, you are the driving force in the operations of our office. Please take a moment to tell us how we are doing, if we are meeting your needs, and what we can do to improve our services. Thank you!

Please tell us when you last visited our office. What provider did you see? Josiah Carr, MDJoan Britt, FNPNurse visit only Please rate the ease of scheduling your appointment: 1 - Poor 2 - Below Expectations 3 - Met Expectations 4 - Above Expectations 5 - Excellent Courtesy of office staff: 1 - Poor 2 - Below Expectations 3 - Met Expectations 4 - Above Expectations 5 - Excellent Waiting time: 1 - Poor 2 - Below Expectations 3 - Met Expectations 4 - Above Expectations 5 - Excellent Response time to return your phone calls: 1 - Poor 2 - Below Expectations 3 - Met Expectations 4 - Above Expectations 5 - Excellent Coordination of referrals or tests: 1 - Poor 2 - Below Expectations 3 - Met Expectations 4 - Above Expectations 5 - Excellent Overall satisfaction: 1 - Poor 2 - Below Expectations 3 - Met Expectations 4 - Above Expectations 5 - Excellent Please provide any additional comments below, especially if you rated any of the above areas a 3 or less. Would you like to be contacted about this survey or to follow-up? If so, please provide your name and contact information and we will contact you. I understand that I am not requesting medical advice by submitting this survey. Only a confirmation that my survey was received will be sent to the email address I have provided below. *If you would rather not provide an email address, you may also use the PRINT option below and mail the survey to us. * I agree to the above statement. E-mail address (or PRINT below and mail) * * Required