Comprehensive Patient Feedback for 25th Anniversary Question Title * 1. What is one thing you love about our practice? (Required.) Question Title * 2. What is one thing you wish we would improve or change? (Required.) Question Title * 3. Which new service would you most like us to add? (Required.) Extended hours Telehealth options More specialists Wellness programs Question Title * 4. Is there anything you think should be removed from our current services? (Required.) Question Title * 5. Please rate your satisfaction with the following aspects of our service (Required.) Very dissatisfied Dissatisfied Satisfied Very satisfied Appointment scheduling Appointment scheduling Very dissatisfied Appointment scheduling Dissatisfied Appointment scheduling Satisfied Appointment scheduling Very satisfied Staff friendliness Staff friendliness Very dissatisfied Staff friendliness Dissatisfied Staff friendliness Satisfied Staff friendliness Very satisfied Facility cleanliness Facility cleanliness Very dissatisfied Facility cleanliness Dissatisfied Facility cleanliness Satisfied Facility cleanliness Very satisfied Question Title * 6. How likely is it that you would recommend this company to a friend or colleague? (Required.) Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 7. What new feature would make your visits more enjoyable? (Required.) Comfortable waiting area Online appointment booking More parking space Refreshments available Question Title * 8. Do you have any other suggestions for our 25th anniversary? (Required.) Question Title * 9. How likely are you to attend a special event celebrating our 25th anniversary? (Required.) Not at all likely Extremely likely Clear i We adjusted the number you entered based on the slider’s scale. Done