* 1. During your most recent visit, did Dr Vyselaar listen carefully to you?

* 2. During your most recent visit, did Dr Vyselaar seem to know the important information about your medical history?

* 3. During your most recent visit, did Dr Vyselaar explain things in a way that was easy to understand?

* 4. How friendly is Dr. Vyselaar's office staff?

* 5. How knowledgeable is Dr. Vyselaar's office staff?

* 6. Overall, were you satisfied with the care you received at Dr. Vyselaar's office, neither satisfied nor dissatisfied with it, or dissatisfied with it?

* 7. Is there anyone at the office that was particularly helpful to you? Or particularly unhelpful? Please enter their name and a brief description.

* 8. Any other feedback for Dr. Vyselaar and his office team?

Thank you for completing this survey. We appreciate your feedback!

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