Surveys

How did we do?

We are happy that you have choosen Women's Care of Wisconsin for your OB/GYN care!

Your feedback is important to us. Please take a moment to complete this short survey so that we can better serve you.

Thank You!

Zip Code:

Comments:

Why did you choose Women's Care of Wisconsin?:

	it's the same clinic as a friend or family member
	a physician referred you
	Women's Care reputation
	Women's Care locations
	insurance reasons
	saw or heard Women's Care advertising

Would you recommend Women's Care of Wisconsin to a friend or family member?:

	yes
	no

How did you contact us to schedule your first appointment?:

	over the phone
	through the Women's Care website

Did you find the appointment times offered to you met your needs?:

	yes
	no

Which location did you have your appointment?:

	Neenah
	Appleton
	Oshkosh
	New London
	Waupaca

Did the office/clinic staff conduct themselves in a professional way?:

	yes
	no

How long after your scheduled appointment time did you wait before you saw your provider or nurse (including waiting room and exam room)?:

	under 15 minutes
	15-25 minutes
	25-35 minutes
	35-45 minutes
	over 45 minutes

If your wait was greater than 15 minutes after your scheduled appointment time, was the delay communicated to you by the office/clinic staff?:

	yes
	no
	n/a

Did your provider or nurse address all of your concerns?:

	yes
	no

Did your provider or nurse answer all of your questions?:

	yes
	no

Did your provider or nurse communicate with you in a manner you understood?:

	yes
	no

Did your provider or nurse make you a part of the decision making regarding your health?:

	yes
	no

If you would like to be contacted as a follow up to your comments, please give us your contact information.:

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