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24035 Three Notch Road, Hollywood, MD 20636

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Patient Survey

Shah Associates values our patient feedback. We share our positive survey scores and written compliments with our dedicated staff to reassure them in their daily efforts. We continually review opportunities to improve the patient experience. By monitoring real-time patient feedback, individual departments are able to review their results and prioritize patient experience improvement objectives.

1. Name


2. Date of Birth


3. Location of Visit


4. Name of Provider


5. Best Contact Number (Optional)


6. Ease of scheduling your appoimtment




7. Courtesy of Registration Staff




8. The length of time you had to wait




9. Courtesy of Physician




10. Courtesy of Nurse/Technologist




11. Ease of paper work (referral ,test , results, Rx, etc.)




12. Would you recommend Medstar Shah Medical Group to family and friends?

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Your Name *  

Your Contact No *[xxx-xxx-xxxx]   

Your Email *    

Your Message *