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Please rate your level of satisfaction for the following:

	Not satisfied	Somewhat Satisfied	Satisfied	Extremely Satisfied	N/A
Communication prior to your appointment	*Please rate your level of satisfaction for the following: Communication prior to your appointment Not satisfied	Communication prior to your appointment Somewhat Satisfied	Communication prior to your appointment Satisfied	Communication prior to your appointment Extremely Satisfied	Communication prior to your appointment N/A
Appointment availability	Appointment availability Not satisfied	Appointment availability Somewhat Satisfied	Appointment availability Satisfied	Appointment availability Extremely Satisfied	Appointment availability N/A
Waiting room time	Waiting room time Not satisfied	Waiting room time Somewhat Satisfied	Waiting room time Satisfied	Waiting room time Extremely Satisfied	Waiting room time N/A
Fees	Fees Not satisfied	Fees Somewhat Satisfied	Fees Satisfied	Fees Extremely Satisfied	Fees N/A
Quality of care from staff	Quality of care from staff Not satisfied	Quality of care from staff Somewhat Satisfied	Quality of care from staff Satisfied	Quality of care from staff Extremely Satisfied	Quality of care from staff N/A
Quality of care from Doctor	Quality of care from Doctor Not satisfied	Quality of care from Doctor Somewhat Satisfied	Quality of care from Doctor Satisfied	Quality of care from Doctor Extremely Satisfied	Quality of care from Doctor N/A