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Wired for Excellence!
THANK YOU FOR HELPING TO MAKE OUR OFFICE BETTER!
Would you be comfortable referring us to your friends and/or family?
Would you be comfortable referring us to your friends and/or family?
Yes
No
Maybe
Other (please specify)
Do you feel that you/your child received adequate personal attention from us?
Do you feel that you/your child received adequate personal attention from us?
Yes
No
Other (please specify)
Are you happy with your/your child's treatment results?
Are you happy with your/your child's treatment results?
Yes
No
Other (please specify)
Did we meet your customer service expectations?
Did we meet your customer service expectations?
Yes, you exceeded my expectations
Yes, you met my expectations
NO
Other (please specify)
Was the physical environment of our office up to your expectations?
Was the physical environment of our office up to your expectations?
Yes
No
Other (please specify)
What did you like best about our office?
What did you like best about our office?
Where do you think we need improvement?
Where do you think we need improvement?
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