Patient Survey

Here at SMO, we not only want to make sure you receive an outstanding exam, but that you receive outstanding customer service as well.  If you've been in to see us, we would love to know what we did well and what we need to improve upon.  Please take a few moments to fill out our brief survey and tell us how we did.

(Leave blank if you prefer to remain anonymous)
Date of your visit *
Date of your visit
Reason for your Visit *
(please check all that apply)
If you were here for an exam, which provider were you scheduled to see?
Was your appointment scheduled in a timely manner? *
How long did you have to wait from the time you scheduled your appointment until your appointment date? *
When you arrived for your appointment, were you taken back to be seen in a timely manner? *
How long past your appointment time did you wait to be taken back to be seen? *
Did your doctor explain your condition and treatment plan adequately? *
Would you recommend us to family or friends? *