Aftercare Survey

Which physician did you see?(Required)

Dr. Samuel Jonnalagadda, M.D.

Dr. Alka Jain, M.D.

Kathleen Fraquhar, 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?(Required)

Unsatisfied	Neutral	Satisfied	Very Satisfied

How easy or difficult was it to schedule your appointment?(Required)

Difficult	Neutral	Easy

How satisfied were you with the appointment time you were able to get?(Required)

Unsatisfied	Neutral	Satisfied	Very Satisfied

Overall, how would you rate the care you received from our staff?(Required)

Poor	Fair	Good	Excellent

Overall, how would you rate the care you received from your provider?(Required)

Poor	Fair	Good	Excellent

How well did you provider answer your questions and concerns?(Required)

Very Poorly	Fair	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?(Required)

Unsatisfied	Neutral	Satisfied	Very Satisfied

How satisfied are you with our website?(Required)

Unsatisfied	Neutral	Satisfied	Very Satisfied

Did you sign up for our new patient portal?(Required)

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)(Required)

Is there anything we could have done to improve your last visit?