Patient Satisfaction Survey Template Page 2
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2*5. Cancer Navigator
Your cancer navigator educated you about the treatment
process, and answered your questions with care and
concern.
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5
You received additional cancer related information.
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4
5
Your cancer navigator was available to you in office or by
phone whenever you had questions.
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4
5
You were comfortable discussing your treatment process
with your cancer navigator.
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4
5
The information provided by your cancer navigator was
useful.
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5
*6. Radiation Oncologist
The knowledge and skill of the radiation oncologist was
exemplary.
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5
The radiation oncologist attending your treatment was
friendly and courteous.
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5
Your visits with the radiation oncologist were prompt.
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5
You met with the radiation oncologist often enough.
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5
You received adequate information regarding side effects
from radiation.
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4
5
*7. Check Out and Payment
The scheduling of future appointments was easy and fast.
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4
5
You were able to schedule appointments at convenient
times.
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5
Your charges were explained to your satisfaction.
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5
Our staff adequately handled the collection of your payment. 1
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5
*8. Confidentiality
Our staff did an adequate job of protecting your clinical
information.
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5
You feel confident in our custodianship of your clinical
information.
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5
9.
Please provide any additional comments.
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