Wisdo Family Medicine

Patient Survey

At WISDO FAMILY MEDICINE we strive to provide our patients with the best medical care available, and we are dedicated to maintaining and improving their quality of life.  In doing so, our Goal is to achieve 100% patient satisfaction.  Therefore;  if you feel that you have encountered a problem unfortunately with our office, or have any concerns, or if you would just like to share something with us about a positive experience you’ve had at our office,  please fill out the information below to let us know about it. 
Your feedback is very important to us and will be kept strictly confidential.
                                                                                                                                                                  Thank You.

Your Name:

Email Address:

Telephone Number:

May we Contact You?
 Yes No

Rate Your Visit:

Did the staff greet you properly?

Did you have to wait over 15 minutes past your appointment time to be seen? If so how long?

Were your financial arrangements or insurance coverages discussed to your satisfaction?


*If you opted to be contacted about the above, please note it may take 48hrs after submitting the form for our office to contact you.    Thank You.