Eastside Cardiovascular Medicine, P.C. ~ Specializing in all aspects of cardiovascular medicine

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Dear Patient,

It is our desire to provide you with the finest medical care in a courteous and friendly, yet efficient atmosphere, both in the office and the hospital. To help us live up to this goal, we ask your assistance in filling out this questionnaire. Your comments are sincerely appreciated and are extremely helpful.

Thank You!

Reception & Appointments
Courtesy
Promptness
Helpfulness
Efficiency
Reception Staff
Courtesy
Promptness
Helpfulness
Efficiency
Telephone & Switchboard
Courtesy
Promptness
Helpfulness
Efficiency
Nursing & Clinical Staff
Courtesy
Promptness
Helpfulness
Efficiency
Facilities
Atmosphere
Comfort
Convenience
Parking
Insurance Department
Courtesy
Promptness
Helpfulness
Efficiency
About Your Physician
Did your Doctor make clear to you the nature of your illness and the treatment prescribed?
Your Doctor's Name		VAMSHIDHAR GUDUGUNTLA, M.D., F.A.C.C. SOHAIL HASSAN, M.D., F.A.C.C. KYUNGSOO KIM, M.D., F.A.C.C. JOHN C. SOMOGYI, M.D., F.A.C.C. HIROSHI YAMASAKI, M.D., F.A.C.C. LUIS A. PIRES, M.D., F.A.C.C. SRIHARI RAVI, M.D., F.A.C.C. KISHAN JASTI, M.D.
Your Doctor was...
If you have ever contacted your Doctor after hours, how was your experience?
What did you like best about your relationship with your Doctor and/or our staff?
What could we change to improve the quality of future visits?
If you have any additional comments or suggestions, please enter them below:

Thank you for taking the time to fill in our questionnaire!