Which office did you visit?

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* 1. Which office did you visit?

When scheduling your appointment, how long did you have to wait to speak with a scheduling staff member?

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* 2. When scheduling your appointment, how long did you have to wait to speak with a scheduling staff member?

Was the person who helped schedule your appointment professional, courteous and helpful?

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* 3. Was the person who helped schedule your appointment professional, courteous and helpful?

Upon entering our office, was the receptionist staff member that helped you professional, courteous and helpful?

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* 4. Upon entering our office, was the receptionist staff member that helped you professional, courteous and helpful?

After checking in, how long did you wait in the reception area before being called by a medical assistant?

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* 5. After checking in, how long did you wait in the reception area before being called by a medical assistant?

If your wait in the reception area was longer than 20 minutes, were you advised of the delay?

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* 6. If your wait in the reception area was longer than 20 minutes, were you advised of the delay?

Was the medical assistant that helped you professional, courteous and helpful?

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* 7. Was the medical assistant that helped you professional, courteous and helpful?

Which provider did you see during your visit?

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* 8. Which provider did you see during your visit?

Were you able to see the provider of your choice?

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* 9. Were you able to see the provider of your choice?

How long did you wait in the examination room for your provider?

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* 10. How long did you wait in the examination room for your provider?

Did the provider spend enough time with you during your visit?

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* 11. Did the provider spend enough time with you during your visit?

From the list below, please indicate the demeanor of the provider during your visit (choose all that apply):

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* 12. From the list below, please indicate the demeanor of the provider during your visit (choose all that apply):

Did the provider listen to your concerns and questions carefully?

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* 13. Did the provider listen to your concerns and questions carefully?

Did the provider address your questions and concerns thoroughly and properly?

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* 14. Did the provider address your questions and concerns thoroughly and properly?

Did you feel that the provider's examination was thorough and complete?

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* 15. Did you feel that the provider's examination was thorough and complete?

Please rate the clarity of the provider's explanation of your condition and treatment options:

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* 16. Please rate the clarity of the provider's explanation of your condition and treatment options:

During your visit, did you speak with a Registered Nurse?

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* 17. During your visit, did you speak with a Registered Nurse?

Was the Registered Nurse that helped you professional, courteous and helpful?

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* 18. Was the Registered Nurse that helped you professional, courteous and helpful?

Were your questions for the Registered Nurse answered to your satisfaction?

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* 19. Were your questions for the Registered Nurse answered to your satisfaction?

During your visit, did you receive a lab examination? If yes, please indicate the type of lab:

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* 20. During your visit, did you receive a lab examination? If yes, please indicate the type of lab:

Was the lab technician that helped you professional, courteous and helpful?

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* 21. Was the lab technician that helped you professional, courteous and helpful?

During your visit, did you meet with a member of the Billing Office? If yes, was the Billing Office staff member that helped you professional, courteous and helpful?

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* 22. During your visit, did you meet with a member of the Billing Office? If yes, was the Billing Office staff member that helped you professional, courteous and helpful?

How would you rate your overall experience at Brunswick Hills Ob/Gyn?

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* 23. How would you rate your overall experience at Brunswick Hills Ob/Gyn?

What is the likelihood you would return to Brunswick Hills Ob/Gyn?

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* 24. What is the likelihood you would return to Brunswick Hills Ob/Gyn?

What is the likelihood you would recommend Brunswick Hills Ob/Gyn to friends and family?

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* 25. What is the likelihood you would recommend Brunswick Hills Ob/Gyn to friends and family?

Would you be interested in any of the following services if offered at Brunswick Hills Ob/Gyn? Select all that apply:

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* 26. Would you be interested in any of the following services if offered at Brunswick Hills Ob/Gyn? Select all that apply:

In the space provided below, feel free to add any constructive comments that will help Brunswick Hills Ob/Gyn improve:

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* 27. In the space provided below, feel free to add any constructive comments that will help Brunswick Hills Ob/Gyn improve:

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