Patient Survey

Share Your Feedback: Help Us Improve Your Experience at Garden City Treatment Center.

"*" indicates required fields

Please indicate your level of satisfaction with each experience at Garden City Treatment Center.*

	Excellent	Good	Fair	Poor
The waiting time to be written-up for your visit
The waiting time to be seen by a Providers
The courtesy of our Reception Staff
The care you received by our Providers
The care you received by our Nursing Staff
The clarity of the discharge instructions provided to you
The courtesy of our X-Ray Staff
The politeness and professionalism of our Billing Department

Additional comments on how we may improve to meet your needs:*

Date of Service

Your Name (Optional)

First Last

Your Email Address

Patient Name (Optional)

If different from person completing the form

First Last

Name

This field is for validation purposes and should be left unchanged.

Better Healthcare is Our Mission

Open 7 Days 8AM – 8PM. No Appointment Necessary.

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