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Patient Satisfaction Survey

Did you feel heard you? We want to know!

Our mission statement at Designer Audiology is to provide a personal experience that improves each patient’s quality of life in the area of hearing healthcare, in a trusting and respectful environment.

That’s our goal…how did we do?


Thank you for taking five minutes of your time to complete this survey for us. We truly appreciate it!

Visit Information:

MM slash DD slash YYYY

Service Satisfaction Information:

Please check the box that best describes your feelings about the following aspects of your visit to Designer Audiology.

1. The friendliness of the staff.
2. The timeliness of the appointment.
3. The professional expertise of the staff.
4. The explanation of your diagnosis and treatment plan.
5. Your overall experience with Designer Audiology.
How likely are you to recommend Designer Audiology to a family member or close friend?

Get started today!