Patient Satisfaction Survey

We want to be the best Urgent Care in the Space Coast. Your feedback can help make that happen! To do so we would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. Of the surveys we receive, those that include contact information will be entered in our weekly drawing for a gift certificate (movies, Starbucks, etc.). All responses will be kept confidential. Thank you for your feedback!

Ease of Getting Care
  1. Great=5 Good=4 Ok=3 Fair=2 Poor=1
  2. Ability to get in to be seen
  3. Hours Center is open
  1. Time in Waiting room
  2. Time in Exam room
  1. (Physician, Paramedic, Medical Assistant)
  2. Takes enough time with you
  3. Listens to you
  4. Did the medical staff perform adequate hand hygiene
  5. Friendly and helpfulness to you
  6. Answers your questions
  1. Neat and clean building
  2. Privacy
  1. (required)
  2. (required)
  1. At Atlantis Urgent Care, we value your opinion. Please fill out the information below to be entered into our weekly drawing for a gift certificate. Surveys are kept confidential.
  2. (required)
  3. (valid email required)
  4. (required)

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