Harrisburg Primary Medical Care












Dear Patient:

We want to provide you with the highest quality health care possible in a comprehensive, compassionate, and cost-effective manner. Please take a moment to fill out the following survey. Your responses will help us to serve you better.


Please mark appropriate sex and age group:

Male

Female

Age?

18 - 25     26 - 35     36 - 45    
46 - 55     55 - 65     66 & Above


Please choose the number that best describes your opinion:

1. Phone Calls to our clinic are handled in a prompt/courteous manner.

-3     -2     -1     0     +1     +2     +3

Comments:
2. It is easy to make an appointment at Primary Care Group?

-3     -2     -1     0     +1     +2     +3

Comments:
3. My approximate time in the waiting room before my appointment was:

1-15 minutes     6-30 minutes     31-45 minutes
46+ minutes    

Comments:
4. The receptionists at Primary Care Group are friendly and knowledgeable.

-3     -2     -1     0     +1     +2     +3

Comments:
5. The courtesy extended by the nursing staff is favorable.

-3     -2     -1     0     +1     +2     +3

Comments:
6. The lab, Xray, and Ultrasound technicians at Primary Care Group are friendly and knowledgeable.

-3     -2     -1     0     +1     +2     +3

Comments:
7. The waiting area at Primary Care Group is clean and comfortable.

-3     -2     -1     0     +1     +2     +3

Comments:
8. After I have seen the doctor, it is easy for me to check out and pay any co-pay I may have.

-3     -2     -1     0     +1     +2     +3

Comments:
9. The billing statements I receive from Primary Care Group are easy to read and understand.

-3     -2     -1     0     +1     +2     +3

Comments:
10. I am notified of my test results in a timely manner.

-3     -2     -1     0     +1     +2     +3

Comments:
11. One improvement I would like to see at Primary Care Group is:

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Primary Care Group
117 E Clark
Harrisburg, IL 62946

phone    618-252-8625
fax    618-252-2540
        

Sloan Medical Clinic
7211 US Highway 45
Carrier Mills, IL 62917

phone    618-994-2321
fax    618-994-2034

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