Please mark the appropriate grade under each category and click the submit button to complete the survey.
 WHAT LOCATION DID YOU HAVE AN APPOINTMENT?
West Ashley Mount Pleasant North Charleston Moncks Corner
 
 WHICH PHYSICIAN DID YOU SEE?
Charles H. Banov, M.D. Albert F. Finn Jr., M.D. Patricia S. Gerber, M.D. Allen P. Kaplan, M.D.
Thomas R. Murphy, M.D. John T. Ramey, M.D. Ned T. Rupp, M.D. Frederick M. Schaffer, M.D.
Elisabeth Kryway P.A.      
  
 THE FACILITY
Excellent
Good
Average
Needs Improvement
Poor
N/A
  Easy to find
  Cleanliness
  Your comfort while here
  Protection of your privacy
           
 THE APPOINTMENT PROCESS
Excellent
Good
Average
Needs Improvement
Poor
N/A
  Ease of contacting our office for an   appointment
  Getting the date/time
  Politeness of the schedulers
           
 WAITING TIME
Excellent
Good
Average
Needs Improvement
Poor
N/A
  At the reception area
  In the waiting room
  In the examination room
           
 YOUR DOCTOR OR NURSE  PRACTITIONER
Excellent
Good
Average
Needs Improvement
Poor
N/A
  Understood your symptoms
  Took enough time with you
  Was caring and helpful
  Explained your condition
  Explained any testing done
  Explained prescriptions given
  Made you feel comfortable
 
 SATISFATION WITH THE STAFF
Excellent
Good
Average
Needs Improvement
Poor
N/A
  Receptionists
  Nurses
  Physicians
  Nurse Practitioners
  Insurance and Billing Staff
  Management
 
  CHECKOUT
Excellent
Good
Average
Needs Improvement
Poor
N/A
  Able to schedule next appointment at   desired time
  Bill was understandable
  Charges were appropriate for my   care
           
 OVERALL ASSESSMENT
Excellent
Good
Average
Needs Improvement
Poor
N/A
  Overall satisfaction?
  Overall satisfaction with physician or   nurse practioner?
  Overall grade of facility?
  Would you recommend us to others
yes
no
      
             
Additional comments regarding your visit:
             
  Did any staff member provide   superior care?  This information   is used in providing staff   incentives. 
   
Suggestions to improve our services:
             
  You may keep this anonymous or you may share with us who you are and the date of your visit:
  I would like to stay anonymous
         
or
            
  Name and date of my appointment
Name:
 
Appointment Date:
             
             
National Allergy, Asthma, & Urticaria Centers of Charleston, P.A.
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