BACK TALK SYSTEMS, INC. 14998 W. 6th Avenue, Suite E-500 Golden, CO USA 80904-5025 USA 1/800/937-3113 CANADA 1/800/461-0100 UNITED KINGDOM 44(0)1202-534-986 AUSTRALIA 1/800-800-963 www.backtalksystems.com Team Tip #67 PATIENT LETTERS (part 10) by Susan Hoy PATIENT SURVEY LETTER #1 Dear patient: Please help us help others. Enclosed is a practice survey along with a self- addressed envelope. Your opinion is important to us. We are always looking for ways to improve our service and health care. This questionnaire helps us pinpoint areas needing improvement so we can continue to provide the highest quality of care to our patients. Please take a few moments to fill out the following questionnaire and return it us. We value your opinion and comments regarding the care you received in our office. Your response will be confidential and your signature is not required. Thank you in advance for your help. Sincerely, PATIENT SURVEY LETTER #2 Dear patient: We hope your absence is because you are doing well. Please don't wait too long before returning for a visit. Your spine needs us and besides, we look forward to seeing you when you visit. Please take a few moments and fill out the following questionnaire and return it in the enclosed stamped envelope. We value your opinion and comments regarding the care you received in our office. These questionnaires help us pinpoint those areas needing improvement so we can continue to provide the highest quality of care to our patients. Thank you in advance for your time and assistance. Sincerely, PATIENT SURVEY QUESTIONNAIRE Dear Patient: Please take a few moments to answer the following questions regarding the care you received at our office. Please circle the "YES" if your experience was satisfactory. If the answer is "NO" to any of the following questions, please explain on the line provided. Your response will be confidential and your signature is not required. 1. Did the doctor seem interested and concerned about your problem? YES NO_______________________________________________ ________________ 2. Did the doctor explain your problem to you in a way that you understood? YES NO_______________________________________________ ________________ 3. Did the doctor spend enough time with you? YES NO_______________________________________________ ________________ 4. Did you feel at ease with the doctor? YES NO_______________________________________________ ________________ 5. Was your chiropractic treatment comfortable? YES NO_______________________________________________ ________________ 6. Was the chiropractic treatment you received effective? YES NO_______________________________________________ ________________ 7. Was your doctor professional? YES NO_______________________________________________ ________________ 8. Did the doctor see you at or near your appointment time? YES NO_______________________________________________ ________________ 9. Did the doctor explain the treatment procedure to your satisfaction? YES NO_______________________________________________ ________________ 10. Was the office staff pleasant, friendly and helpful? YES NO_______________________________________________ ________________ 11. Were you able to make appointment times that were convenient for you? YES NO_______________________________________________ ________________ 12. Was the atmosphere in our office pleasant and comfortable? YES NO_______________________________________________ ________________ 13. Were you pleased with the way your paperwork was handled? YES NO_______________________________________________ ________________ 14. Do you feel that our fees are reasonable? YES NO_______________________________________________ ________________ 15. Would you recommend us to others? YES NO_______________________________________________ ________________ Name (Optional)__________________________________ You may order our new TEAM TRAINING AND PRACTICE MANAGEMENT MANUAL package, from which