Douglas Women's Center, PC, GYN, Lithia Springs, GA

880 Crestmark Drive
Suite 200
Lithia Springs, GA 30122


880 Crestmark Drive, Suite 200, Lithia Springs, GA 30122

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Patient Survey

We Value Your Opinion - Please Participate In Our Patient Satisfaction Survey!

Thank you for entrusting the providers and staff of Douglas Women's Center with your healthcare needs! As part of our ongoing effort to provide you with service excellence at every level, we invite you to complete our Patient Satisfaction Survey. If we have failed to meet your expectations, please let us know. If you have positive feedback to share, we would love to hear that as well! Your responses will be reviewed by our administrator, and care will be taken to address any concerns you may have.

We appreciate your participation!

Patient Satisfaction Survey

First Name:
Last Name:
E-mail Address:
Telephone Number
(please include area code):
Date of your office visit:
Service that you Received:
Provider Seen:
Ease in making appointment:
Was staff courteous & professional? Yes No
Was nurse informative & friendly? Yes No
Did nurse prepare you for exam? Yes No
Was visit with provider positive? Yes No
Treatment instructions understood? Yes No
Were all your questions answered?: Yes No
Was facility clean & professional? Yes No
Would you refer us to a friend? Yes No

Please explain any "no" answers or feel free to share your thoughts or comments on how we can improve our services to you.
Do we have permission to share your review on practice's marketing materials (website, facebook page, etc.) using your first and last initials only? Yes No