Southview Medical Group, P.C., Birmingham, AL, Privacy Notice

	Customer Service Please complete the following form and click Submit. 1. When scheduling your appointment, was your call returned within: Spoke to staff first try Less than two hours Two to four hours Greater than four hours 2. If you have called in needing to speak to the nurse, was your call returned within: Spoke to staff first try Less than two hours Two to four hours Greater than four hours 3. Was your first encounter with our receptionist and/or clinical staff efficient and pleasant? Yes No If no, please respond below. 4. During your appointment, was our receptionist/clinical staff courteous and helpful? Yes No If no, please respond below. 5. Were you satisfied with the care provided by your physician? Yes No If no, please respond below. 6. Did you wait more than 30 minutes to see the physician? Yes No If no, please respond below. 7. Was the support staff in the testing areas (Lab, X-Ray, Nuclear, CT, etc.) courteous and helpful? Yes No If no, please respond below. 8. Once in our building, did you receive clear directions as to where to go for testing or a physician? Yes No If no, please respond below. 9. Has your experience with the business office staff and/or billing system been satisfactory? Yes No If no, please respond below. 10. Would you refer a friend to our practice? Yes No If no, please respond below. 11. Which doctor did you see today? 12. Have you used our web page? Yes No If no, please respond below. Please use this space for your response to the above questions or any additional comments you may wish to provide: If you would like a response, please enter your name and phone number or email address.

Customer Service