Home

Providers
Services

Patient Education
Patient eServices
Burke Occupational Health
Contact Us
 

Customer Service Survey

Please rate the following questions on a scale of 1 to 5 with 5 being excellent and 1 being poor.  Choose "N/A" if the question doesn't apply.

5-  Excellent 4- Very Good 3-  Good 2- Fair 1- Poor N/A
Availability of Appointment for a physical or drug screen:            
Availability of Appointment for injury care:            
Are you able to speak to a provider for after-hours emergency calls:            

5-  Excellent 4- Very Good 3-  Good 2- Fair 1- Poor N/A
Receptionist            
CMA            
Providers            
Billing            

Overall, how would you rate the quality of Burke Occupational Health?
 Extremely   Very Good   Good  Fair   Poor 

If you have any further comments, please express those below:
 

Home Providers Services Patient Education Patient eServices Burke Occupational Health Contact Us

Copyright ©2003 Burke Primary Care