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* 1. Staff were friendly and courteous during my visit.

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* 2. I spent a sufficient amount of time with my provider during my visit.

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* 3. I was able to schedule my appointment promptly and in a timely manner.

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* 4. I was able to begin my visit with my provider in a timely manner following check-in.

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* 5. Overall, I left my visit feeling satisfied.

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* 6. Additional comments.

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