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* 1. When did you visit Virginia Breast Care?

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* 2. Which doctor did you see?

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* 3. Please rate the following aspects of your experience.

  Perfect Excellent Good Satisfactory Poor N/A
Scheduling (or changing) your appointment
Registration process, checking in
Billing, insurance verification
Waiting room
Patient examining rooms

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* 4. Please rate the following aspects of your appointment?

  Perfect Excellent Good Satisfactory Poor N/A
Interview with the nursing assistants?
Time spent with your doctor?
Overall satisfaction with your appointment?

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* 5. If you had a biopsy in our office (with ultrasound) please rate the experience?

  Perfect Excellent Good Satisfactory Poor N/A
Your understanding of WHY a biopsy was recommended?
The preparation and explanation of the biopsy procedure?
The difficulty of your biopsy?
Your recovery from the biopsy (pain, bruising etc)
Length of time to get your results?

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* 6. If you had a biopsy in the Martha Jefferson Imaging suite with one of our doctors (using stereotact or mammogram guidance) please rate the experience?

  Perfect Excellent Good Satisfactory Poor N/A
Your understanding of WHY a biopsy was recommended?
The preparation and explanation of the biopsy procedure?
The difficulty of your biopsy?
Your recovery from the biopsy (pain, bruising etc)
Length of time to get your results?

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* 7. Overall satisfaction with your doctor and his/her office as far as

  Poor Satisfactory Good Excellent Perfect N/A
Friendliness
Respect and courtesy
Communication
Knowledge

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* 8. Would you be willing for us to share this information anonymously (the responses are not linked to any name, email or identifying information)

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* 9. This survey is anonymous. But...If you do not mind being contacted for follow-up, please provide your contact information below. Your personal information will never be shared.

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* 10. Any additional feedback is appreciated.

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