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* 1. If you had to spend more than 15 minutes in the waiting room before you saw someone for your appointment, how often did someone tell you why there was a delay or how long the delay would be?

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* 2. Length of wait after check-in?

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* 3. Overall, comfort of the facility?

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* 4. I knew what to expect at this appointment.

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* 5. How helpful was the staff?

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* 6. How friendly was the staff?

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* 7. Overall, how would you rate your experience?

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* 8. Did the staff check your name and date of birth before treating you?

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* 9. I saw staff wash their hands or use hand gel during my visit.

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* 10. What can we do to improve?

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