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* 1. How long did you wait for an appointment to see the doctor/nurse practitioner?

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* 2. How would you rate the courtesy of the person who took your initial call?

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* 3. Were you greeted in a friendly manner as soon as you approached the sign in window?

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* 4. How long did you wait in the waiting room to see the doctor/nurse practitioner?

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* 5. How would you rate the front office and clinical staff for efficiency and professionalism?

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* 6. How would you rate the listening skills of the doctor/nurse practitioner, and were all of your questions answered in a way you can understand?

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* 7. How would you rate the ease of the billing process?

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* 8. Was your surgery, if applicable, scheduled promptly and were all of your questions addressed?

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* 9. Were your phone calls answered promptly, and how would you rate our ability to return your calls in a timely manner?

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* 10. Please leave any comments regarding who referred you to our practice, how long have you been a patient, if any employee went out of their way to make your visit pleasant, how we could improve your experience at Blanda Orthopedics, and if you would be likely to refer a friend or family member. Thank you!

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