Clinic Evaluation

We’d love to hear how your appointment went! When we get feedback from patients, it allows us to develop our clinic into a better practice. Fill out the form below to tell us how we did.

Patient Evaluation Form

Please fill out the following form after your appointment.

Did you have a telehealth visit today?

Did your telehealth visit meet your needs?

Did your clinic visit meet your needs?

How could we have better met your needs?

Were you satisfied with the amount of time spent with your provider?

Please explain how the length of visit time could have been better.

Would you recommend WeARE to a friend?

What would make you more likely to recommend us to a friend?

Was the location easy to find?

Did the hours of the clinic work well for you?

How could our hours change to better accommodate your schedule? (choose all that apply) How could our hours change to better accommodate your schedule? (choose all that apply) Morning hours Evening hours Weekend hours Other