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* 1. Which location were you seen at?

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* 2. How satisfied were you with Arrowhead Health Centers' services? (1 - Not Satisfied to 5 - Highly Satisfied)

  1 2 3 4 5
Was it easy to schedule a convenient appointment?
Were you greeted in a prompt and friendly manner?
Were the provider and staff sensitive to your needs?
Was your waiting time reasonable?
Were your concerns or questions answered?
How would you rate the cleanliness of our facility?
How would you rate the quality of care received from the provider?
How would you rate your overall experience?
Would you refer a friend to our practice in the future?

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* 3. Who did you see at your most recent visit?

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* 4. Would you return to our practice in the future?

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* 5. Do you have any additional comments for the team at Arrowhead Health Centers?

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* 6. Please provide your contact information below so we can follow up with you on your responses if needed.

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