SURVEY

Please take a couple minutes to complete our survey to the best of your knowledge.

Date of Service: //

Which of the following locations did you visit for your appointment?

4160 John R Rd, Ste 510, Detroit, MI

2021 Monroe, Ste 203, Dearborn, MI

Are you a new patient?
Yes No

Gender
Male Female

Age:

Please rate the following with 5 being the BEST and 1 being TERRIBLE:

1. How professional and courteous was our staff on the phone?

 

 


5


4


3


2


1


N/A

 

 

2. During your office visit, how well did we listen to your specific needs?

 


5


4


3


2


1


N/A

 

 

3. How well were you educated on the tests and exams you received?

 


5


4


3


2


1


N/A

 

 

4. How well were instructions explained during your visit to HVP?

 


5


4


3


2


1


N/A

 

 

5. How would you rate the value of the services and products you received?

 


5


4


3


2


1


N/A

 

 

6. How courteous and professional was our staff during every aspect of your visit?

 


5


4


3


2


1


N/A

 

 

7. How satisfied were you with the ability of Heart & Vascular Physicians to accompany your medical needs?

 


5


4


3


2


1


N/A

 

 

Would you recommend our practice to your family and friends?
Yes No

If No, please tell us why:

How did you hear about Heart & Vascular Physicians?
DMC Employee
Physician Referral
MD News Magazine
Senior Living Newspaper
DMC Billboard
Other:

If there is any way we can improve our services, please tell us about it:

Please enter the text you see in the box below

Please note, this survey will be thoroughly read by a representative of our company. However, it will not solicit a direct response. Since exceeding each and every patient's expectations with our service and products is our goal, if you would like to be contacted by a HVP representative in regards to an experience or issue, we encourage you to email us directly at rsrour@dmc.org.

Thank you for taking the time out to complete our survey, we appreciate your business.