Patient Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.


Please select how well you think we are doing in the following areas:

Please select which office you currently visit with your child(ren):
Ease of Care
Ability to get in to be seen:
Prompt return on calls:
Hours Office is open:
Waiting
Time in waiting room:
Time in exam room:
Waiting for tests to be performed:
Waiting for test results:
Staff
Physicians
Listens to you:
Takes enough time with you:
Explains what you want to know:
Gives you good advice and treatment:
Nurses and Medical Assistants
Friendly and helpful to you:
Answers your questions:
Front Desk
Friendly and helpful to you:
Answers your questions:
Payment
What you pay:
Explanation of charges:
Collection of payment/money:
Facility
Neat and clean building:
Comfort and Safety while waiting:
Privacy:
Confidentiality
Keeping my personal information private:
The likelihood of referring your friends and relatives to us:
Do you consider this center your regular source of care?:
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7715 4th Avenue Brooklyn, New York 11209 phone: 718.833.2300 fax: 718.836.2305
1779 Richmond Avenue Staten Island, New York 10314 phone: 718.982.6800 fax: 718.982.6830