Patient Survey Thank you for being a patient at Mountain Podiatry! In order to maintain what we feel is a high level of patient care, we ask you take a moment and fill out a patient survey. If you wish to withhold your name, please feel free to do so. Name First Last Condition being treated by doctor:*1. Were you called to remind you of the appointment?* Yes No 2. Were you given an appointment on the day you requested?* Yes No 3. Do you feel you were brought back in a timely manner?* Yes No 4. Do you feel all your questions were answered by the doctor?* Yes No 5. Do you feel the doctor spent an adequate amount of time with you?* Yes No 6. If you spoke with members of the staff on the phone, were they friendly and identify themselves when answering the phone?* Yes No 7. Would you recommend our practice to a friend or family?* Yes No Please either expand on any points above, other concerns, or if you have any compliments, please write below. NameThis field is for validation purposes and should be left unchanged.