Patient Satisfaction Survey Physician Availability*ExcellentGoodFairPoorAppointment Scheduling Process*ExcellentGoodFairPoorDid you experience problems with telephone communications?*YesNoIf yes, please explain:*Location of scheduled appointment*TupeloStarkvilleOxfordColumbusCorinthHow comfortable was the waiting area?*ExcellentGoodFairPoorThe courtesy of our reception and appointment staff.*ExcellentGoodFairPoorThe admission process allowed for confidential information to be collected in a manner that maintained my privacy.*ExcellentGoodFairPoorThe billing process and my financial responsibilities were explained to me in a satisfactory manner.*ExcellentGoodFairPoorAbout Your Medical Care And Physician:The timeliness of being seen at your appointed time.*ExcellentGoodFairPoorTime spent with physician.*ExcellentGoodFairPoorThe courtesy of the physician.*ExcellentGoodFairPoorAppointment Physician:*Select One:W. B. Calhoun, M.D., FACCJMurray Estess, Jr., M.D., FACCDouglas L. Hill, M.D., FACCDavid H. Irwin, Jr., M.D., FACCJames C. Johnson, M.D., FACCNelson K. Little, M.D., FACCFrancisco J. Sierra, M.D., FACCJoseph Curtis Adams, M.D., FACCBarry D. Bertolet, M.D., FACCAmit K. Gupta, M.D., FACCRoger A. Williams, M.D., FACCChris M. Bell, ACNPBenjamin D. Blossom, M.D., FACCWanda Ikeda, ACNPTodd Sandroni, Pharm. DKatherine B. McDuffie, FNP-BCJanet B. Richey, FNP-BCWSteve Carroll, M.D., FACCElizabeth K. “Kitt” Bailey, MSN, APRN, ACNP, BCLauren C. Holliman, CFNP, MSNLee C Ferguson, ACNPThe courtesy of the nurses and other medical staff.*ExcellentGoodFairPoorAre you a new patient to this physician?*YesNoWhat treatment was recommended?*MedicationSurgeryIf surgery, please list type:*About YourselfAge of patient:*Under 1818-3435-4950-6565+How did you hear about Cardiology Associates of North Mississippi?*Physician ReferralFamilyFriendInternetInsuranceWould you recommend Cardiology Associates of North Mississippi to your family and friends?*YesNoAbout Us:The facility is clean and promotes a safe environment.*ExcellentGoodFairPoorOverall satisfaction with Cardiology Associates of North Mississippi.*ExcellentGoodFairPoorAdditional 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. NamePhone This iframe contains the logic required to handle Ajax powered Gravity Forms.