Survey

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Convenient, Efficient Allergy and Asthma care for adults & children...


	Denver Allergy and Asthma is very interested in hearing feedback from our patients. Please take the survey to the right so we may better service your needs.

Patient Survey

We are very interested in your feedback. Please fill out the form below and click the submit button. Tell us how we can better serve you and provide you with the best treatment possible.

We thank you in advance!

Please rate the following items on a scale from 1 to 4.

1 = Poor 2 = Fair 3 = Good 4 = Excellent

How Long you waited to get an appointment.

Which location were you seen?

Convenience of the office location.

Getting through to the office by telephone.

Length of time waiting at the office.

Time you spent with person you saw.

Explanation of what was done for you.

Technical skills (Thoroughness, carefulness, Competence) of the person you saw.

Personal manner (Courtesy, respect, Sensitivity, Friendliness) of the person you saw.

The visit overall.

Value of the overall medical care during the visit.

What is the likelihood that you would recommend this clinic to family and friends?

Type of visit (1 = 1st visit, 2 = follow-up visit, 3 = allergy injection therapy, 4= allergy testing)

Please write suggestions you may have in the space below:

Clicking the submit button will email this form to Denver Allergy and Asthma Associates, P.C.