Patient Satisfaction Survey

We are interested in receiving your input on our services. Your comments will help us identify how we can improve. If you have not completed a survey in the past 90 days, please take a moment to complete this survey. All responses will be kept confidential.

Please submit your responses below as follows:

Strongly Disagree



Strongly Agree


The office location and office hours are convenient.
I was able to get a follow up appointment with my doctor in an acceptable amount of time.
I was able to get an urgent appointment for sickness in an acceptable amount of time.
The time I spent in the waiting room and the exam room was acceptable.
I was able to contact a doctor when the office was closed on nights and weekends.
I was able to get through to a member of the staff by telephone during office hours.
When I left a message, my call was returned within a reasonable amount of time.
The office was clean and comfortable.
The parking was acceptable.
My side effects were managed satisfactorily.

Quality of Care

My physician was courteous and helpful.
My physician listened to me and answered all of my questions.
I felt my examination or evaluation was complete.
I was able to obtain information I needed concerning test results, medications and follow up care instructions in an acceptable amount of time.
I was satisfied with the way my doctor involved other physicians and caregivers in my care when needed.

Helpfulness of Staff

The receptionists and front office staff were courteous and helpful.
The nursing staff was courteous and helpful.
The lab staff was courteous and helpful.
The billing staff and patient advocates were courteous and helpful.

Overall Satisfaction

Based on my total experience, I would refer a friend or family member to Utah Cancer Specialists for treatment.