Comments Card | Orlando Women’s CenterYour comments and suggestions are very important to us as we strive to provide the best possible care to our patients. We take your comments seriously as they are extremely helpful for improving the quality of care provided to our patients.
It is not necessary to provide your name. You may send a copy of your comments to any of our clinic locations, or you may scan and email a confidential copy directly to 24hourabortion@gmail.com.
This comment area is meant to determine only about your satisfaction with your visit to our office. If you are having a medical question or problem after the visit, please call the office where you received your services. Date of Visit: Month___________________________ Day__________________________ Year____________ Which Office did you visit? _____Orlando Women’s Center _____The EPOC Clinic _____Women’s Center of Hyde Park _____Ft. Lauderdale Women’s Center _____Ocala Women’s Center On a scale of 1 to 10 (1 being the lowest and 10 being the highest) how would you rate the following: _____How you were treated on the telephone when calling to schedule an appointment _____Front Office Staff _____Appearance of the office _____Physican _____Medical Staff _____Recovery Team Were you given information about the following: Yes or No _____Emergency Contraception _____Advanced IV Sedation _____Same Day Abortion By PiIl _____Funding or Cost Saving Coupon Is there anything we could have done to make your visit more comfortable? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Did any staff member go out of their way to enhance your visit in any manner? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Please note any additional comments you would like to share. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Thank you for taking the time to complete this questionnaire. |
