Our Patient Survey

We appreciate you taking the time to provide feedback to our practice.  Your input is very valuable.

Please complete the following survey as it relates to your most recent visit with us.

Thank you!

1. Please rate your ability to get the appointment you wanted
   1 Worst possible experience2345 Best possible experience
   Additional comments (optional)
   
2. When you call the office for any reason is your call answered promptly?
   YesNo
   Additional comments (optional)
   
3. Please rate the staff's friendliness, courtesy, and respect
   1 Worst possible experience2345 Best possible experience
   Additional comments (optional)
   
4. Please rate how well your provider listened to your concerns
   1 Worst possible experience2345 Best possible experience
   Additional comments (optional)
   
5. Please rate the thoroughness of the encounter to assess your concerns
   1 Worst possible experience2345 Best possible experience
   Additional comments (optional)
   
6. Please rate how well your provider explained any condition(s), proposed treatment(s), or medication(s) and answered any questions.
   1 Worst possible experience2345 Best possible experience
   Additional comments (optional)
   
7. How would you rate the overall cleanliness of the facility you visited?
   1 Worst possible experience2345 Best possible experience
8. How likely are you to recommend OBGYN Associates of Des Moines to a friend or family member?
   0 (Not likely)12345678910 (Very likely)
9. Please include any additional comments you would like to share.