Clinic Patient Survey

We greatly value your feedback.

Thank you for entrusting your health care to Spokane Valley ENT and Facial Plastics. The quality of your care is of the utmost importance to us, and we welcome your response to this survey.

E-mail Address: *

Your Name:

Date seen: *

Doctor / Audiologist / Allergy Nurse: *

Please rate the services you received by responding to each question below.

I first heard about Spokane Valley ENT and Facial Plastics from: *

 Physician Referral
 Previous Experience
 Family/Friends
 Other

The facility was clean and welcoming: *

 Excellent
 Good
 Fair
 Poor
 N/A

I was well informed by the staff of my appointment date and time: *

 Excellent
 Good
 Fair
 Poor
 N/A

When I arrived for the appointment I was treated courteously: *

 Excellent
 Good
 Fair
 Poor
 N/A

I was taken care of promptly and the wait to see the doctor was reasonable: *

 Excellent
 Good
 Fair
 Poor
 N/A

All forms and/or procedures were explained by the staff: *

 Excellent
 Good
 Fair
 Poor
 N/A

Staff made themselves available to answer any questions I had: *

 Excellent
 Good
 Fair
 Poor
 N/A

The medical assistant understood why I was here and was patient and caring: *

 Excellent
 Good
 Fair
 Poor
 N/A

Staff was concerned for my privacy: *

 Excellent
 Good
 Fair
 Poor
 N/A

The doctor / audiologist was patient, caring, and gave me their full attention: *

 Excellent
 Good
 Fair
 Poor
 N/A

I clearly understood any followup instructions that were given: *

 Excellent
 Good
 Fair
 Poor
 N/A

Overall, I left feeling satisfied with the services I received: *

 Excellent
 Good
 Fair
 Poor
 N/A

I would recommend Spokane Valley ENT and Facial Plastics to family and/or friends: *

 Yes
 No

What could have been done to make your experience more pleasant? *

If you have any additional comments, please feel free to explain: *

Verification Code:

Enter Verification Code: *

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Spokane Valley ENT

1424 N. McDonald Rd., Suite 101
Spokane Valley, WA 99216

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509.928.7272