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Oral and Maxillofacial Surgery Associates

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Office Numbers

Waukesha
262-547-8665 Oconomowoc
262-567-9167 Johnson Creek
920-699-3730 Mukwonago
262-368-2980 Slinger
262-222-5599

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Customer Satisfaction Survey

Location of your visit:
- Waukesha
- Oconomowoc
- Johnson Creek
- Mukwonago
Name of Physician your visit was with?
Would you like us to contact you regarding your visit?
- Yes
- No
If yes, please give us your name
and phone number
Response definition: P = poor F = fair G = good VG = very good E = excellent
1. Ease of scheduling appointments:
- P
- F
- G
- VG
- E
2. Friendliness of appointment scheduler:
- P
- F
- G
- VG
- E
3. Convenience of our clinic hours:
- P
- F
- G
- VG
- E
4. Availability of parking:
- P
- F
- G
- VG
- E
5. Timeliness of registration process:
- P
- F
- G
- VG
- E
6. Courtesy shown by reception staff:
- P
- F
- G
- VG
- E
7. Satisfaction with length of time between registration and exam:
- P
- F
- G
- VG
- E
8. Explanation of any prolonged wait, if applicable:
- P
- F
- G
- VG
- E
9. Friendliness and concern of your care provider (assistant, dr):
- P
- F
- G
- VG
- E
10. Opportunity to discuss your concerns with the doctor:
- P
- F
- G
- VG
- E
11. Was your medical condition and treatment explained thoroughly?
- P
- F
- G
- VG
- E
12. Were you able to understand explanation and instructions?
- P
- F
- G
- VG
- E
13. Were you able to understand the financial information?
- P
- F
- G
- VG
- E
Comments?
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Waukesha
Oconomowoc
Johnson Creek
Mukwonago
Slinger
Customer Satisfaction Survey

Our Locations

1111 Delafield Street, Ste 222

Waukesha, WI 53188

Tel: Waukesha Phone Number 262-547-8665

Fax: 262-547-8685

785 Summit Avenue, Ste 302

Oconomowoc, WI 53066

Tel: Oconomowoc Phone Number 262-567-9167

Fax: 262-567-3988

475 Hartwig Boulevard, Ste 100

Johnson Creek, WI 53038

Tel: Johnson Creek Phone Number 920-699-3730

Fax: 920-699-3735

320 Bay View Road

Mukwonago, WI 53149

Tel: Mukwonago Phone Number 262-368-2980

Fax: 262-363-1939

100 E. Commerce Blvd., Ste B

Slinger, WI 53086

Tel: Slinger Phone Number 262-222-5599

Fax: 262-297-1401

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