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Thank you Brevard County for voting us #1 urgent care*

Palm Bay Urgent Care

"where everyone is treated with urgency"

Stanley Dziedzic D.O.
Board Certified Physician
Emergency Trained
Lawrence Smith, D.O.
Board Certified Emergency Medicine
ER Trained

Patient Satisfaction Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.

Ease of Getting Care
  1. Great=5 Good=4 Ok=3 Fair=2 Poor=1
  2. Ability to get in to be seen
  4. Hours Center is open
  6. Convenience of Center's location
  8. Prompt return on calls
Waiting
  1. Time in Waiting room
  3. Time in Exam room
  5. Waiting for tests to be performed
  7. Waiting for test results
Staff
  1. Provider: (Physician, Physician Assistant)
  2. Listens to you
  4. Takes enough time with you
  6. Explains what you want to know
  8. Gives you good advice and treatment
  10. Paramedics and Medical Assistants:
  11. Friendly and helpfulness to you
  13. Answers your questions
  15. All Others:
  16. Friendly and helpfulness to you
  18. Answers your questions
  20. Did the medical staff perform adequate hand hygiene
  22. Did the medical staff wear gloves when drawing blood
  24. Did the medical staff wear gloves when performing a procedure
Payment
  1. What you pay
  3. Explanation of charges
  5. Collection of payment/money
Facility
  1. Neat and clean building
  3. Ease of finding where to go
  5. Comfort and Safety while waiting
  7. Privacy
Check Out
  1. The discharge instructions were clear and understandable
  3. If you where referred to another provider was adequate information provided
Confidentiality
  1. Keeping my personal information private
Overall
  1. What is the likelihood of referring your friends and relatives to us:
  3. Do you consider this your regular source of urgent care?
Optional Contact
  1. At Palm Bay Urgent Care, we value your opinion. If you would like to be contacted for more information, please fill out the form below
  3. (valid email required)
 

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