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2026-2027 Patient Satisfaction Survey

This survey is anonymous and voluntary, we appreciate your feedback and even constructive criticism, but it is not mandatory. In no way will the care you receive from our team be changed based on whether or not you have completed a survey. However, if you have a particular concern about your provider, you will need to share those concerns directly with their office.

As part of our ongoing efforts to measure and improve the level of service provided by the team, we would appreciate you taking 5 minutes to complete our confidential patient survey.

Thank you.
1.Who is your health care provider?(Required.)
2.What is your age?(Required.)
3.What is your gender?(Required.)
4.Most of the time, do you feel welcome and comfortable at your health care provider's office?(Required.)
5.What was the main reason for your last visit with your health care provider (doctor or nurse practitioner)?(Required.)