Dr. Chorzepa, D.O. - Care Experience
This office is very interested in your feedback on your experience over the past 12 months in receiving care here. Please answer the questions below. We value your feedback and we will use it to improve the care that we provide. We will not know who completed the surveys, so please be as honest and specific as you can. We appreciate your time.
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Access to Care
Access to care includes your ability to make an appointment to see a doctor or nurse practitioner, reach the office by phone, reach the office through the internet, and wait in the office for your appointment.
Please choose the best option that describes your level of satisfaction with your ability to see a doctor or nurse practitioner when needed. *
Please choose the best option that describes your level of satisfaction with your ability to reach the office by phone or to receive a return call when needed. *
Please choose the best option that describes your level of satisfaction with your ability to reach the office over the internet or through email to obtain information such as lab test results, or to request an appointment, refill, or referral, when needed. *
Please choose the best option that describes your level of satisfaction with the office wait time when you visit the office for a scheduled appointment. *
Quality of Communication
Quality of communication refers to responses to your questions and to instructions and information offered to you about your care from any doctor, nurse practitioner, medical assistant, or staff in the office.
Please choose the best option that describes your level of satisfaction with doctors, nurse practitioners, or medical assistants’ responses to any questions that you have about your care. *
Please choose the best option that describes your level of satisfaction with the quality of instructions and information offered to you by doctors, nurse practitioners, or medical assistants about your care in the areas of diagnosis, treatment, medication, and follow-up care. *
Please choose the best option that describes your level of satisfaction with the quality of information offered to you by office staff (people other than doctors, nurse practitioners, and medical assistants). *
Confidence in Self-Care
Confidence in self-care refers to your comfort level with your ability to care for yourself or another family member in the areas of activity, exercise, medication, or managing symptoms.
Please choose the best option that describes your level of satisfaction with your confidence in self-care. *
Satisfaction with Overall Care
Satisfaction with overall care refers to your satisfaction with your care (or that of a family member for whom you are caring) from doctors, nurse practitioners, medical assistants, or staff with regard to your treatment and choices that you have about your care.
Please choose the best option that describes your level of satisfaction with your overall care received through this office. *
Coordination of Care
Coordination of care refers to your doctor, nurse practitioner, or medical assistant’s ability to refer to other specialists, monitor medication changes, and track any laboratory and imaging results.
During each visit in the last 12 months, did your doctor, nurse practitioner, or medical assistant ask if you received care from outside specialists? *
During each visit in the last 12 months, did your doctor, nurse practitioner, or medical assistant discuss your prescription medicines with you? *
Other
Please use the space below to tell us anything else that is important to you about your care or about your experience with this office.
Please indicate, if you would, the following so that we can understand the needs and opinions of specific populations:
Gender *
Age *
Insurance Type *
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