Pacific Pain Management
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EVALUATION OF PATIENT CARE

Customer Friendly Health ClinicAt Pacific Pain Management, we always seek to provide you with excellent care and service. 

In order to improve patient experiences at our office, we would appreciate any feedback you can share with us.

Name & contact information is optional.

Describe your experience making an appointment:
When you called, did you wait on hold?          
If so, how long did you wait on hold?      
Was the appointment staff friendly?          
Were you able to make an appointment for a convenient time?          
Describe your experience at the front desk:
Were you greeted in a timely manner?          
Was the front desk staff friendly and helpful?          
Describe how long you waited to be seen:
Were you seen at or before your appointment time?          
If not, how long did you wait past your appointment time?
        
Describe your experience with your providers:
Were your providers friendly?          
Did the providers answer your questions clearly and completely?          
Did the care you received meet your expectations?          
Would you recommend our services to your family and friends?          
Please describe your overall experience with Pacific Pain Management:   (Optional)

If you would like us to contact you about your experiences at our office, please provide your name and phone number or e-mail address.

Name: (Optional)
E-mail address: (Optional)
Phone: (Optional)
   
  Code: *  

Thank you for sharing your experiences with us. We read every evaluation, and carefully consider how we can improve our patient service.

Your inquires are kept confidential and we do not share your information with third parties (Privacy Policy).

 


PACIFIC PAIN MANAGEMENT - Phone: (503) 654-5636 - Fax: (503) 654-5638

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