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some of the area's
TOP DOCTORS!

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Dr. Sherif S. Tawfik
Dr. Alan Benheim
Dr. Sharon S. Karr
Dr. Jin H. Park

nova

Dr. Sherif Tawfik
Dr. Alan Benheim
Dr. Sharon S. Karr
Dr. Jin H. Park

Dr. Annette K. Ansong

ICAEL Accredited

 ICAEL accreditation logo

Feedback Survey

Please provide us with your feedback by completing our survey. We want to hear from you so we may improve the quality of care and service we provide to our families. Thank you for letting us know how we’re doing.

Generated with MOOJ Proforms
Please let us know the date of your visit?
Was this your first visit with our practice?
Yes
No
Which location did you receive care?
Communication and ease of making an appointment:
Excellent
Good
Poor
N/A
Appointment available within a reasonable amount of time:
Yes
If no, check here if the location was not available when you wanted.
If no, check here if the doctor was not available when you wanted.
First impression, courtesy of check-in and registration process:
Excellent
Good
Poor
N/A
Courtesy, explanation of testing, respect of medical assisting staff who did the initial screening (EKG, height/weight, blood pressure):
Excellent
Good
Poor
N/A
Courtesy, explanation of testing, respect of sonographer staff who performed the ultrasound/echocardiogram:
Excellent
Good
Poor
N/A
Courtesy, explanation of exam/testing, respect of physician staff:
Excellent
Good
Poor
N/A
Did you receive test results (for a monitor or stress test) in an expected time frame?
Yes
No
Overall impression of building/parking/facilities:
Excellent
Good
Poor
N/A
My visit included the following (check all that apply):
Office visit
Counseling for a cath procedure
Ultrasound/Echo
Monitor (24hr or 30 day)
Stress Test
EKG ONLY was performed without an office visit
Overall satisfaction with the practice and care received:
Excellent
Good
Poor
N/A
Please type in any additional comment or information you would like us to know about your visit.