Patient satisfaction survey

At Urology Specialists of Georgia, your satisfaction and well-being are our top priorities. Please take a few minutes to help us continually improve our services.

All fields are optional — share what feels relevant. If you have an urgent clinical concern, please call us at (478) 745-6576 rather than submitting through this form; survey responses are typically reviewed within a few business days.

Tell us about you

First name

Last name

Physician's name

Was this the first visit to our facility?

Scheduling process

When contacting the office, the phone staff was pleasant.

I was able to schedule an appointment within a reasonable time frame.

Upon arrival

I was greeted and registered promptly.

The registration staff was courteous and helpful.

The forms I was asked to complete were easy to understand.

My wait time was reasonable.

Nursing staff

The nurse was courteous and friendly.

The nurse was able to answer my questions and provide assurance.

Physicians

My physician answered my questions clearly.

My physician explained my treatment options thoroughly.

My physician was courteous and friendly.

My wait time in the exam room was reasonable.

Lab, radiology, ultrasound (if applicable)

My technician answered my questions clearly.

My technician explained my treatment options thoroughly.

My technician was courteous and friendly.

My wait time was reasonable.

Final thoughts

Would you return to Urology Specialists of Georgia?

Additional comments