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1. Default Section
1
. How has your experience been with Dr. Custer
How has your experience been with Dr. Custer
Excellent
Good
Poor
Other (please specify)
2
. How can we better serve You
How can we better serve You
3
. How has your experience been with the Staff
How has your experience been with the Staff
Excellent
Good Poor
Other (please specify)
4
. What service would you like to see the office offer
What service would you like to see the office offer
5
. How likely are you to recommend someone to our office
How likely are you to recommend someone to our office
Likely
Most Likely
Not Likely
6
. How would you rate our office in customer service
How would you rate our office in customer service
Excellent
Good
Poor
Other (please specify)
7
. How would you rate our Massage Center and its Therapist
How would you rate our Massage Center and its Therapist
Excellent
good
poor
Other (please specify)
8
. Is our office location convenient and easy to get to
Is our office location convenient and easy to get to
Yes
No
Other (please specify)
9
. Are your concerns being addressed
Are your concerns being addressed
Yes
No
Sometimes
Other (please specify)
10
. Are your Billing or Account question's being explained to your satisfaction
Are your Billing or Account question's being explained to your satisfaction
Yes
No
Other (please specify)
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