Family Physicians Group, P.S.

Patient Services

Patient Satisfaction Survey


How would you rate: Excellent Very Good Good Fair Poor N/A
The courtesy of the front desk staff?
The medical assistant's personal manner (courtesy, respect, sensitivity)?
The provider's (M.D. or P.A.) personal manner?
The overall quality of the care you received?
If you are a new patient, where did you hear about Family Physicians Group?
Please let us know if someone was especially nice to you today: Employee Name
Other Comments:
Would you like us to contact you? Name:

Phone:
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