After Care Survey - Commerce Primary Care

(248) 363-7500

Which physician did you see?*
- Dr. Samuel Jonnalagadda, M.D.
- Dr. Alka Jain, M.D.
- Rachal Wojtowicz P.A.-C
- Jessica Graham, N.P.-C
- Lana Elia, N.P.-C
Overall, how satisfied or dissatisfied were you with your last visit to our office?*
Unsatisfied Neutral Satisfied Very Satisfied
How easy or difficult was it to schedule your appointment?*
Difficult Neutral Easy
How satisfied were you with the appointment time you were able to get?*
Unsatisfied Neutral Satisfied Very Satisfied
Overall, how would you rate the care you received from our staff?*
Poor Fair Good Excellent
Overall, how would you rate the care you received from your provider?*
Poor Fair Good Excellent
How well did you provider answer your questions and concerns?*
Very Poorly Poor Moderately Well Extremely well
How satisfied or dissatisfied were you with the amount of time your provider was able to spend with you addressing your needs and medical concerns?*
Unsatisfied Neutral Satisfied Very Satisfied
How satisfied are you with our website?*
Unsatisfied Neutral Satisfied Very Satisfied
Did you sign up for our new patient portal?*
- I did sign up for the portal
- I did not sign up for the portal, but plan to
- Not interested at this time
How likely is it that you would recommend Commerce Primary Care to a friend or family member? (rating 0-10)*
0 - Never 1 2 3 4 5 6 7 8 9 10 - Very Likely
Is there anything we could have done to improve your last visit?
Name
This field is for validation purposes and should be left unchanged.