At Highland Center for Orthopaedics your peace of mind is very important to us. It is our goal that through compassion and understanding we will help you find a roadmap to good health. Please take a few moments of your time to help us improve as we strive to provide you with exceptional service.



Patient Name:
Person Completing Survey:
Name of Doctor
Please rate the following:

Obtaining an Appointment:

Excellent

Good

Fair

Poor

Cleanliness of Facility

Excellent

Good

Fair

Poor

Receptionist friendly and helpful

Excellent

Good

Fair

Poor

Waiting time while in office

Excellent

Good

Fair

Poor

Staff pleasant and considerate

Excellent

Good

Fair

Poor

Questions answered clearly by staff

Excellent

Good

Fair

Poor

Doctor provided a roadmap to good health

Excellent

Good

Fair

Poor

Doctor spent enough time with you

Excellent

Good

Fair

Poor

Billing and Insurance explained carefully

Excellent

Good

Fair

Poor

Confidentially maintained

Excellent

Good

Fair

Poor

Overall Experience

Excellent

Good

Fair

Poor

Would you refer friends and relatives to Highland Center for Orthopaedics (Yes, if No why?)

How did you hear about us?

What did you like best about Highland Center for Orthopaedics

What did you like least about Highland Center for Orthopaedics