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Appointment Modifications Call: (813) 347-4080
APPOINTMENT REQUESTS
PATIENT PORTAL
RECORDS REQUESTS
HOME
ABOUT
MEET OUR DOCTORS
COMMUNITY INVOLVEMENT
INTERNATIONAL CARE
REVIEWS
DOCTOR TALKS
SERVICES
OBSTETRICS
GYNECOLOGY
INFERTILITY
MENOPAUSE
AESTHETICS & WELLNESS
IN HOUSE PHARMACY
LOCATIONS
SOUTH TAMPA
NORTH TAMPA
LUTZ
RIVERVIEW
PATIENT ACCESS
ADA COMPLIANCE
APPOINTMENT REQUESTS
BEFORE YOUR VISIT
CONTACT US
GET SOCIAL WITH US
PATIENT PORTAL LOGIN
PAYMENT OPTIONS
PRIVACY & LEGAL
RECORDS REQUESTS
TELEMEDICINE VIDEO VISITS
NEWS & ARTICLES
How Was Your Visit?
Please share with us.
Thank you for taking the time to share with us. We appreciate it!
(Muchas gracias por darnos su opinión. Esto nos ayudará a proveerle un mejor servicio en el futuro.)
First and Last Name
*
(Nombre y Apellido)
First
Last
Which of Our Offices Did You Most Recently Visit?
*
(¿Cuál de nuestras Oficinas Ud. visitó recientemente?)
Please Choose
North Tampa - 5380 Primrose Lake Circle
South Tampa - 2716 W. Virginia Ave.
Lutz - 3815 Atmore Grove Drive
Riverview - 13005 S. US Hwy. 301 Riverview
How Would You Rate Your Experience?
*
(¿Cómo juzga su experiencia total con The Woman’s Group?)
Good to Excellent (De buena a excelente)
Not So Great or Needs Improvement (No tan bueno o necesita mejora)
Which South Tampa Physician Did You See?
*
(¿Que Doctora la vio?)
Karolina Borodo, MD
Madelyn E. Butler, MD
Deborah Cohen, MD
D.A. Kobliska, CNM, ARNP
Kathy McElwaney, RNC, BSN, ARNP
Mariana Oliva, MD
Carmen E. Peden, MD, PhD
Catherine Roush, MD
Evelyn Serrano, MD
Another, or Not Sure
Which North Tampa Physician Did You See?
*
(¿Que Doctora la vio?)
Janeen R. Alidina, MD
Judith Barreiro, MD
Sasha Gourgue, MD
Carolina Hernandez, MD
Jessica Jenkins, MSN, APRN, CNM
Astrid Mondaca, MD
Christina O'Leary, MSN, APRN, CNM
Allison Polender, MD
Another, or Not Sure
Which Lutz Physician Did You See?
*
(¿Que Doctora la vio?)
Paola N. Comas Vargas, MD
Eva M. Crooke, MD
Olivia Donnelly, MD
Jessica Greer, MD
Vanessa Lancaster, CNM
Pamela Twitty, MD
Irene N. Wahba, MD
Another, or Not Sure
Which Riverview Physician Did You See?
*
(¿Que Doctora la vio?)
Erin Giddens, PA
Alexandria M. Mozzicato, DO
Michelle Ranes, MD
Jennifer Rizzo, MD
Jennifer Sanchez Russell, DO
Sharon Stewart, MD
Sara Veiga, MD
Another, or Not Sure
We appreciate you taking the time to share your comments with us here. We strive to provide great patient experiences and truly value your opinion. Our office manager will be getting in touch with you soon.
(Por favor denos sus comentarios sobre su visita de manera que podamos analizarlos, corregir lo que sea necesario y responderle. Nuestro mayor interés es proveer cuidado de alta calidad en todos los aspectos de su visita. Valoramos su opinión y estaremos en contacto con ud. pronto.)
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Please rate your experiences with us below from 1 to 5 stars:
(Use de 1 a 5 estrellas para darnos su opinión sobre cada asunto: 5 estrellas es excelente y 1 estrella indica que necesita mejora.) Ratings by stars: 5 stars= Excellent, 4 stars= Pretty Good, 3 stars= Neutral, 2 stars= Not So Great, 1 star= Needs Improvement
This field is hidden when viewing the form
How Would You Rate Your Patient Experience with Your Physician?
*
(¿Cómo juzga su interacción con su doctora?)
Excellent (Excelente)
Pretty good (Muy bueno)
Neutral
Not so great (No muy bueno)
Terrible
This field is hidden when viewing the form
How Would You Rate the Professionalism of Our Office Support Staff, including your check-in and check-out?
*
(¿Cómo juzga el profesionalismo del resto del personal en nuestra oficina, incluyendo el personal de registración y de salida?)
Excellent (Excelente)
Pretty good (Muy bueno)
Neutral
Not so great (No muy bueno)
Terrible
This field is hidden when viewing the form
How Would You Rate the Overall Cleanliness and Comfort of Our Office?
*
(¿Cómo juzga la limpieza, decoración y conforte de nuestra oficina?)
Excellent (Excelente)
Pretty good (Muy bueno)
Neutral
Not so great (No muy bueno)
Terrible
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Would You Recommend The Woman's Group to a Friend?
*
(¿Le recomendaría Ud The Woman’s Group a una amiga?)
Definitely (Definitivamente)
Possibly (Posiblemente)
Not Sure (No estoy segura)
Probaby Not (Posiblemente no)
No
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How Would You Rate Your Overall Experience at The Woman's Group?
*
(¿Cómo juzga su experiencia total con The Woman’s Group?)
Good to Excellent (De buena a excelente)
Neutral
Not So Great or Needs Improvement (No tan bueno o necesita mejora)
This field is hidden when viewing the form
Would you like to share any comments about your visit with us? We strive to provide great patient experiences and truly value your opinion.
(¿Le gustaría hacer algún comentario específico sobre su experiencia durante su visita? Nosotros valoramos grandemente su opinión.)
Name
This field is for validation purposes and should be left unchanged.
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