* 1. Did you receive a telephone call from our automated system reminding you of your appointment?

* 2. Scheduling my appointment and check in were a pleasant experience.

* 3. The office staff and physicians were professional and courteous during my office visit.

* 4. How helpful was the staff in seeing to your specific needs?

* 5. How well were you educated on exams or testing performed during your visit?

* 6. How well did your physician address your specific needs during your office visit?

* 7. Overall, wait times experienced while in our office were:

* 8. Would you recommend our office to your family or friends?

* 9. What did you like best about your experience with our office?

* 10. If you have any recommendations for performance improvement, please provide them below.