Fertility & Surgical Associates

Thank you for taking the time to complete our survey. Your input is greatly appreciated and goes a long way in helping us improve on the high level of service we strive to provide our patients. Please note that this survey is completely confidential. If you would like someone to contact you about your responses, please leave your name in the last question and someone for our team will respond to you shortly. Thanks again for your input!

Question #1: Scheduling - and any questions about - my appointment(s) were handled/answered satisfactoriliy?
Strongly disagree Disagree Neutral Agree Strongly agree
Question #2: The front office staff was courteous and helpful?
Strongly disagree Disagree Neutral Agree Strongly agree
Question #3: I was seen in a timely manner on all visits?
Strongly disagree Disagree Neutral Agree Strongly agree
Question #4: The financial packet was explained to me prior to treatment and any questions I had about it were answered for me?
Strongly disagree Disagree Neutral Agree Strongly agree
Question #5: How would you rate the level of service and professionalism you received from the medical assistants?
Bad Not So Good Neutral Good Excellent
Question #6: How would you rate the level of service and professionalism you received from the nurses?
Bad Not So Good Neutral Good Excellent
Question #7: If you could change one thing about our clinic and the care we provide, what would it be?
Question 8: Would you recommend Fertility Associates to your friends, acquantances and family for their fertility related needs?
- Yes
- No
Question #9: On a scale of 1 (completely dissatisfied) to 5 (completely satisfied), how satisfied were you with the care you received at our clinic?
- 1 (dissatisfied)
- 2
- 3 (neutral)
- 4
- 5 (satisfied)
Question #10: Do you have any other comments you would like to provide? Any and all feedback is greatly appreciated.
**Optional: If you would like us to follow up with you on your responses, please leave your name in the box below.**
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Have More Questions?

Call us at 800-961-1801 or Contact Us Online to schedule a confidential consultation.

Office Hours

We have three convenient locations to better serve your needs. FSAC is open 365 days a year. Please contact our office for office hours and appointment availability at each location.

Emergencies

If you have an urgent need when we are not in the office, please call 805-778-1122 and the answering service will contact the physician on call. If you have a life threatening emergency, dial 911.

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