Steadman Hawkins Clinic Survey
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1. Experience
This survey was created by the employees of the Steadman Hawkins Clinic. Any feedback will help us make your visit a better experience for you.
1
. How would you rate your visit to the Steadman Hawkins Clinic?
How would you rate your visit to the Steadman Hawkins Clinic?
Horrible
Poor
Average
Good
Excellent
2
. What physician did you schedule with?
What physician did you schedule with?
Dr. Steadman
Dr. Sterett
Dr. Philippon
Dr. Viola
Dr. Corenman
Dr. Karli
Dr. Hackett
Dr. Millett
Other (please specify)
3
. Which SHC Clinic were you seen at?
Which SHC Clinic were you seen at?
1) Vail Clinic
2) Breckenridge Clinic
3) Frisco Clinic
Other (please specify)
4
. How did you hear about Steadman Hawkins?
How did you hear about Steadman Hawkins?
Friend
Your doctor
Insurance Company
Newspaper
Other (please specify)
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