Stuart Lerner, M.D.

Patient Satisfaction Survey

Please complete the following form to help us improve your patient experience.

Year of Birth (4 digit year) * Gender * Approximate Date of Last Visit

How Would You Rate Your Last Visit?

1. I was able to schedule an appointment in a timely manner. * 2. My physician and his staff make it easy for me to ask questions and answer them in a way I can understand before I leave the office. * 3. My physician and his staff spend enough time listening to my health concerns to make me feel they care about both my illness and well-being. * 4. My physician and his staff explain the test I need or the therapy I need so that I feel we have developed the best plan for my care. * 5. My care team contacts me to remind me when I need to come in for my check-up. * 6. I am notified in a timely manner of test results after lab work or x-rays. * 7. I can access my physician for urgent or emergent concerns after regular hours and on weekends. * 8.My physician seems informed and up-to-date about the care I received from the specialist(s) * 9. I can manage my health better because of what I learned from my physician and the care team. * 10. I would refer my family and friends to this physician. *