Pay My Bill
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573-471-1600
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1008 N. Main St. Sikeston, MO 63801
573-471-1600
Contact Us
Patient Survey
We appreciate your feedback and your responses will help us improve our services. Your opinion is very important to us. Your comments will remain confidential.
Order Number
Full Name
*
Email
*
Date of Service
*
Name of Provider
*
How would you rate your experience
*
Please rate your provider on a scale of 0 – 10.
*
1
0=Worst 10=Best
In general, how would you rate your overall health?
*
1
It was very easy to schedule my appointment.
*
1
My provider explained things to me in a way that was easy to understand.
*
1
My provider listened carefully to me and respected the decisions I made.
*
1
My provider explained the reason behind the recommendations that he/she made.
*
1
My provider discussed ways to improve my health with me, like healthy eating and exercising.
*
1
The office staff was friendly and courteous.
*
1
I am likely to recommend my provider’s office to friends or family members.
*
1
Message / Comments
