Patient Satisfaction Survey

We Would Love to Hear Your Thoughts and Suggestions

Thank you for participating in our patient satisfaction survey. At Male Fertility & Sexual Medicine Specialists (MFS), we continuously strive to meet or exceed your expectations. We encourage you to be honest in your appraisal so that we can improve the level of care at MFS. All responses provided below will be kept anonymous, unless you indicate otherwise.

0 = Not Relevant  |   1 = Not At All  |   2 = Not Sometimes  |   3 = Neutral  |   4 = Yes Sometimes  |   5 = Yes Definitely
      0 1 2 3 4 5
1.  I was satisfied with the information I received before my treatment.
2.  When making my appointment, the representative was respectful and polite.
3.  I was able to schedule an appointment that works with my schedule.
4.  The directions were clear and I found the office to be conveniently located.
5.  The office was clean, orderly and safe.
6.  I received compassionate and respectful care from the office staff.
7.  I received compassionate and respectful care from the physicians.
8.  I felt I had enough time with the physicians to address my concerns and medical background.
9.  I felt that I was listened to and that a sincere effort was made to help me reach my goals.
10.  I felt that the costs were clearly explained and that the billing process was simple.
11.  I am satisfied with the overall cost of my treatment.
12.  I am satisfied with the results of my procedure / treatment.  
13.  I received attentive post-operative care.
14.  Overall I had a positive experience at MFS.
15.  I would recommend a friend or family member to receive treatment at MFS.
 
I would prefer to keep my comments anonymous: Yes
 
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Please note that if you select phone we may leave a voicemail.
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You're always in good hands with Dr. Bastuba