Cardiology Associates of North MS
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Patient Satisfaction Survey
Physician Availability
*
Excellent
Good
Fair
Poor
Appointment Scheduling Process
*
Excellent
Good
Fair
Poor
Did you experience problems with telephone communications?
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Yes
No
Location of scheduled appointment
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Tupelo
Starkville
Oxford
Columbus
Corinth
How comfortable was the waiting area?
*
Excellent
Good
Fair
Poor
The courtesy of our reception and appointment staff
*
Excellent
Good
Fair
Poor
The admission process allowed for confidential information to be collected in a manner that maintained my privacy
*
Excellent
Good
Fair
Poor
The billing process and my financial responsibilities were explained to me in a satisfactory manner
*
Excellent
Good
Fair
Poor
About Your Medical Care And Physician
The timeliness of being seen at your appointment time
*
Excellent
Good
Fair
Poor
Time spent with physician
*
Excellent
Good
Fair
Poor
The courtesy of the physician
*
Excellent
Good
Fair
Poor
Appointment Physician
*
Choose one
Joseph Curtis Adams, M.D., FACC
Richard D. Ballard, M.D.
Chris M. Bell, ACNP
Barry D. Bertolet, M.D., FACC
Benjamin D. Blossom, M.D., FACC
Michael Ted Boler, Jr. D.O.
W.B. Calhoun, M.D., FACC
Steve Carroll, M.D., FACC
Murray Estess, Jr., M.D., FACC
Lee C Ferguson, ACNP
Amit K. Gupta, M.D., FACC
Douglas L. Hill, M.D., FACC
Lauren C. Holliman, CFNP, MSN
James C. Johnson, M.D., FACC
Nelson K. Little, M.D., FACC
Kathrine B. McDuffie, FNP-BC
Janet B. Richey, FNP-BCW
Todd Sandroni, Pharm. D
Francisco J. Sierra, M.D., FACC
Roger A. Williams, M.D., FACC
The courtesy of the nurses and other medical staff
*
Excellent
Good
Fair
Poor
Are you a new patient to this physician?
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Yes
No
What treatment was recommended?
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Choose one
Medication
Surgery
Other
About Yourself
Age of patient
*
Under 18
18-34
35-49
50-65
65+
How did you hear about Cardiology Associates of North Mississippi?
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Physician Referral
Family
Friend
Internet
Insurance
Other
Would you recommend Cardiology Associates of North Mississippi to your family?
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Yes
No
About Us
The facility is clean and promotes a safe environment
*
Excellent
Good
Fair
Poor
Overall satisfaction with Cardiology Associates of North Mississippi
*
Excellent
Good
Fair
Poor
Additional Comments
Contact Information: In order to make certain we meet your expectations now and in the future, we will gladly follow-up with any concerns you may have. In order to facilitate this, we ask that you let us know how to contact you. Please note: You are not required to furnish contact information in order to submit your feedback; however, we encourage you to do so, as we value your opinion and would appreciate the opportunity to converse with you personally.
First Name
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Last Name
*
Phone
*
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