Anderson Family Chiropractic
Anderson Family Chiropractic
Anderson Family Chiropractic
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Anderson Family Chiropractic, P.C.
8088 Douglas Ave
Urbandale, IA 50322
T: 515.252.7070
F: 515.252.7670
Copyright © 2007
Anderson Family Chiropractic, P.C.

 


We need your help!!!!!!

As we grow our practice, it is very important for us to hear your opinions.
Your opinions will help us to streamline our procedures, and patient interactions.

You are invited to participate in our Patient response survey. In this survey, approximately 200 people will be asked to complete questions about their experience. It will take approximately three (3) minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you may skip the question. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate (results posted 3/31/07 at on the website).

If you have questions at any time about the survey or the procedures, you may contact Dr. Tom Anderson at 515-252-7070 or www.AFCchiro.com.

Thank you in advance for your opinions, they mean a lot to us!

Overall, how satisfied were you with:

The treatment and services you received?

Outstanding Average Poor

The doctor's explanation of your condition and treatment program?

Outstanding Average Poor

The length of time the doctor spent with you?

Outstanding Average Poor

Your results with chiropractic treatment?

Outstanding Average Poor

The promptness of service?

Outstanding Average Poor

The friendliness and concern of our staff?

Outstanding Average Poor

The cleanliness and professionalism of our office?

Outstanding Average Poor

The availability of convenient appointment times?

Outstanding Average Poor

The explanation of your insurance benefits?

Outstanding Average Poor

The charges for your treatments
(cost vs. value)?

Outstanding Average Poor

What Services/ Products would you like to see at our office?

Comments:

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