We would like to ask you about your experience regarding your last visit to our office. Thank you for helping us continue to improve the care we provide for our patients.
ALL RESPONSES ARE CONFIDENTIAL.

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* 1. Overall, how satisfied were you with your last visit to our office?

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* 2. Did your appointment with your provider start early, late or on time?

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* 3. How well did the staff listen to your needs?

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* 4. How well did your provider explain your treatment options?

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