Patient Portal
Request An Appointment
You can now text us for appointments
(847) 726-0674
Home
About Us
Our Services
Patients
Blog
Contact Us
Your Valuable Feedback
Full Name
Email
Phone Number
Date of visit
Where did you hear about us?
Services Received
1. Were you seen in a timely manner?
Much shorter than expected
Shorter than expected
Perfectly In-time
A bit longer than expected
Much longer than expected
2. How would you rate your interaction with our front desk staff and medical professionals?
Very Pleasant and Professional
Pleasant
Neutral
Unpleasant
Very Unpleasaant
3. Were your medical concerns and the procedures explained to you in an understandable way?
Fully Explained
Sufficiently Explained
Somewhat Explained
Not Explained
4. How would you rate your overall experience at our clinic today?
Excellent
Good
Average
Below Average
Poor
5. How likely are you to recommend our clinic to family and friends?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Your rating matters
For Further Information
Please feel free to contact us
Connect With Us
Menu