We'd like to hear your feedback!
Please take a moment and answer these 7 questions.
You can also request follow up.
1. How satisfied were you during this visit your care team (Check In, Nursing, Technologist and Physician) listened to your needs and concerns?
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
2. Please rate how well your Care Team explained your illness/procedure and/or treatment plan in a way you could understand?
Excellent Very Good Good Fair Poor
3. Was today's appointment the result of an urgent need?
4. How satisfied were you that today's appointment was available when needed?
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied Not Applicable
5. How would you rate the attitude and professional behavior demonstrated by the Billings Clinic staff you interacted with during this visit?
6. My healthcare team used the most up-to-date and proven treatments during this visit?
Strongly Agree Agree Neutral Disagree Strongly Disagree
7. Would you like to speak to a leader from our team about your experience?
8. Please comment on your experience today. Please include your contact information if you would like to speak to leader from our team. ( * Required)
Phone #: *
Note: Please enter numbers only, format (), - is automatic
9. Please provide any additional comments about your experience today. Enter your comments and press FINISH to continue.