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* 1. How recently were you/child seen in the office?

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* 2. Whom did you see in the office at your most recent visit?

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* 3. Please rate your most recent visit with us:

Scheduling appointments

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* 4. Please rate your most recent visit with us:

Check in

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* 5. Please rate your most recent visit with us:

Wait time

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* 6. Please rate your most recent visit with us:

Nursing Support

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* 7. Please rate your most recent visit with us:

Check out

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* 8. How would you rate your overall experience with us on your recent visit?

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* 9. If we were excellent, how did we excel if not how can we improve?

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* 10. Contact Info

0 of 10 answered
 

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