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One Mercado Street, Suite 200 Durango, CO 81301
Phone: 970.382.9500
Toll Free: 800.524.9821
Fax: 970.259.6045		  
         
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Patient Satisfaction Report Card

We want to provide the best quality medical care possible. To do that, we need your feedback to help us improve. Please complete this form and send it by clicking the submit button below.

Fill out the information below, indicating your level of satisfaction during your last visit.

Which doctor did you see here?
How did you first hear of us?
Name of physician who referred you, if applicable:
Please indicate your level of satisfaction in the following:
  Very Satisfied Somewhat Satisfied Not at all Satisfied
The doctor's explanation of your medical problem
The amount of time the doctor spent with you
The doctor's genuine concern for you and your problem
The ease of making an appointment
The friendliness and courtesy shown by the front office staff
Amount of time you spent in the office waiting to be seen
Convenience of office location
How phone calls are handled
The overall care provided to you
Please indicate your impression of our clinic in the following:
How likely would you be to recommend the clinic to a friend?
Do you think our clinic is the best place to go compared to other clinics in the area?
How can we improve our services in the future:
Please share some basic information about yourself:
What is your age?
Sex: Male   Female

Thank you for the privilege of caring for you.

 

 

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Disclaimer:

The pictures displayed in www.spinecolorado.com are images of actual patients and employees who have consented to have their picture in this website.

Need more information on back and neck pain?
Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.

 

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