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100% of survey complete.

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* 1. How likely is it that you would recommend this company to a friend or colleague?

Not at all likely
Extremely likely

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* 2. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

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* 3. How easy was it to reach the office during regular business hours?

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* 4. How was the length of time waiting in the office?

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* 5. The length of time spent with the doctor or health care professional?

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* 6. Explanation of your condition or the services provided

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* 7. Technical skills of the doctor or health care professional (thoroughness, courtesy, competence)

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* 8. The demeanor (courtesy, respect, sensitivity, friendliness)

  Excellent Very Good Good Fair Poor N/A
Doctor
Reception
Physician Assistant/Nurse Practitioner
X-ray Technician
Check Out Staff

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* 9. Please provide us the name of the doctor or other health professional that you saw on your most recent visit to our office?

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* 10. On what date was your visit to our office?

Date / Time

T