Welcome to Southeastern Cardiovascular
Consultants. Our ongoing mission is to continually improve the
quality of our service and the quality of your experience. Please
help us serve you better by taking a moment to give us your
feedback. Feel free to use the "Comments" section
to explain your answers. Thank you.
APPOINTMENT DATE
APPOINTMENT TIME
How would you rate your overall service
experience with our practice?
How pleased were you with our service
during today's visit with us?
Please rate the following on a scale
of 1 to 5, with 5 being the best
1. Telephone mannerism of staff
2. Convenience of your appointment time
3. Greeting upon arrival
4. Helpfulness of our staff
5. Sensitivity and attentiveness of doctor
6. Explanations provided/questions answered
7. Wait time for your appointment
Are you aware that our practice is accepting
new patients?
Do you feel positive enough about our
practice to refer family or friends?
Please comment on anything regarding
our service that we might do or add to make your
