Thank you for choosing Women’s Institute for Gynecology and Minimally Invasive Surgery for your recent appointment. It is our goal to continually improve to provide the best care possible for our patients. Please take a few moments to fill out our patient satisfaction survey below.

Thank you again for choosing Women’s Institute for Gynecology and Minimally Invasive Surgery.

Sincerely,
Dr. Julie Drolet

How would you rate the appointment-setting process with us?

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* 1. How would you rate the appointment-setting process with us?

How would you rate the friendliness and respectfulness of the staff and nurses?

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* 2. How would you rate the friendliness and respectfulness of the staff and nurses?

Did your healthcare provider explain information and answer your questions in a way that was easy to understand?

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* 3. Did your healthcare provider explain information and answer your questions in a way that was easy to understand?

Do you feel that your healthcare provider listened to you carefully?

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* 4. Do you feel that your healthcare provider listened to you carefully?

Overall, how would you rate your visit to Women’s Institute for Gynecology and Minimally Invasive Surgery?

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* 5. Overall, how would you rate your visit to Women’s Institute for Gynecology and Minimally Invasive Surgery?

Would you refer a friend or family member to Women’s Institute for Gynecology and Minimally Invasive Surgery?

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* 6. Would you refer a friend or family member to Women’s Institute for Gynecology and Minimally Invasive Surgery?

What is your first name?

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* 7. What is your first name?

What is your last name?

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* 8. What is your last name?

What is your email address?

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* 9. What is your email address?

Do you have any comments?

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* 10. Do you have any comments?

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