Patient Experience Survey This survey will provide us with valuable information on how we can enhance our services. (All submissions are anonymous.) 1. Were you satisfied with your recent visit to Urology Associates of Fredericksburg?*YesNo2. Who was your provider?*Dr. CareyDr. BeamonDr. BeckerDr. SellDr. HoffmanDr. SzlykDr. DuMont3. When you arrived in our office, were you greeted and treated in a professional manner?YesNo4. Please rate you level of satisfaction with how you were treated by the staff and nurse.*ExcellentAcceptableNeeds Improvement5. Please rate your satisfaction with the instruction and or explanation given to you by your provider during your visit.*ExcellentAcceptableNeeds Improvement6. Please rate the time and attention you received from your provider during your visit.*ExcellentAcceptableNeeds Improvement7. When you checked out, was that process handled professionally and efficiently?*YesNo8. Would you recommend Urology Associates to a friend?*YesNoPlease add any comments or suggestionsPlease leave your information below so that we may contact you regarding your experience.*NamePhoneE-mail***Your information is private and will not be available to the public.*** This iframe contains the logic required to handle Ajax powered Gravity Forms.