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.PhoneThis field is for validation purposes and should be left unchanged.