Patient Survey

Wagdy S. Rizk, MD want to ensure that every office visit is a pleasurable experience and you receive the best quality care possible. Please take a moment to complete the survey below to let us know about your experience, including both positive and ways we can improve.

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Patient Information

Anonymous

Phone:

Name:

Office Information

Location: – Please Select One –Beaumont, TX

Doctor: – Please Select One –Dr. Wagdy S. Rizk

Ratings

How would you rate your experience in scheduling your appointment?

 

How would you rate the time spent with your care provider?

 

How would you rate the explanation the care provider gave you about your problem or condition?

 

How did you hear about Dr. Rizk? i.e. Family, Friend, Website, Hospital, Seminar

Suggestions for improvement?

Submit Survey