Solantic
1-866-SOLANTIC
Services & Prices
Urgent Care
Wellness Services
Physicals Immunizations Screenings
Worker's Comp & Occupational Medicine Solantic Card
Pay Online Patient Resources Media Gallery News Center Just For Kids Contact Us

PATIENT SURVEY

Fields marked with a * are required

Name*
Patient Number*
If you do not know your patient number, please contact the center where you were treated.
Phone Number*
Email Address*
Date of Visit* / /
Location*
1. Were you greeted as soon as you arrived at Solantic? Yes No
2. Was the atmosphere at Solantic welcoming and clean? Yes No
3. Did Solantic staff notify, explain, or update you on any wait times? Yes No N/A
4. Did the doctor listen as you described your symptoms or asked questions? Yes No
5. Did you understand your diagnosis, treatment plan or referral? Yes No
6. Were the charges on your bill understandable and explained to you, if requested? Yes No N/A
7. Did you receive a follow-up call or message from Solantic within three days of your visit to see how you were doing? Yes No N/A
8. Would you return to Solantic or recommend us to a friend or family? Yes No
9. If Solantic wasn't available, where would you have gone for treatment?
10. Please rate your overall satisfaction with your visit: Excellent    Good    Fair    Poor
11. Is there a Solantic employee you would like to recognize for being especially helpful? Anything we can do better?

CAPTCHA Image

Reload Image