Patient Satisfaction Survey

St. Louis
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Orthopedic Surgeon - Board Certified
St. Louis Cardinals Team Orthopedic Surgeon
Fellowship Trained in Knee and Shoulder Surgery
Shoulder and Knee Specialist, Sports Injuries, Worker's Compensation
Voted "Best Doctors" 2011, 2010, 2009 St. Louis Magazine

1. What was the purpose of your call or visit to Dr. Milne's office?

a. Ask general questions b. Schedule an appointment c. Follow-up d. Ask for directions

Other (please explain)

2. How did you select us for your care today?

a. Referred by my primary care physician b. Referred by friend or family c. Convenient location d. Insurance

Other (please explain)

Please rate the following Excellent, Good, Fair, or Poor

		Excellent	Good	Fair	Poor
1.	Ease of scheduling appointment with Dr. Milne
2.	Helpfulness and courtesy of staff
3.	Your information was collected in a confidential manner that maintained your privacy.
4.	Timeliness of being seen at your appointment time.
5.	Time spent with Dr. Milne.
6.	Comfort of exam room.
7.	Courtesy and knowledge of Dr. Milne.
8.	Dr. Milne explained things in a way you could understand
9.	Dr. Milne listened to and understood your needs as a patient
10.	Dr. Milne's explanation of your condition
11.	Overall satisfaction with Dr. Milne and his staff