Patient Survey

Thank you for choosing us as your foot and ankle specialists. We are always looking for things we can change, new services and other ways we can make you feel more comfortable. Please complete the following information selecting the most appropriate answer based on your most recent visit.

(*) Required Fields

Name

E-mail Address

How would you rate your ability to get a convenient appointment date and time?

ExcellentVery GoodAverageNot So GoodN/A

How would you rate our staff's friendliness and concern for you?

ExcellentVery GoodAverageNot So GoodN/A

Did the doctor give you a thorough explanation of your condition/problem?

YesNo

Would you refer your friends & family to Friendly Foot Care?

YesNo

Please comment on anyone you met during your visit things we could change, new services you would like to see or other ways we can make you feel more comfortable.

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