Slocum Chiropractic Center Patient Survey
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1. Default Section
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1
. Who did you visit today?
Who did you visit today?
Dr. Ryan Byrnes
Dr. Chris Powell
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2
. How would you rate your overall visit?
How would you rate your overall visit?
Excellent
Very Good
Average
Fair
Poor
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3
. Did you experience a long wait time today? If so, how long?
Did you experience a long wait time today? If so, how long?
No
0-5 minutes
5-10 minutes
10-15 minutes
15+ minutes
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4
. How did you hear about our office?
How did you hear about our office?
Billboard
Friend/Referral
Radio
Yellow Pages
Office Signage
Website
Other
5
. General comments about your visit.
General comments about your visit.
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