* 1. Your appointment was scheduled in a timely manner

* 2. The office staff treated you with courtesy and respect?

* 3. Your wait time to see the provider in the exam room was within 15 minutes.

* 4. Your doctor spent an adequate amount of time with you and listened to your concerns.

* 5. Your doctor is knowledgeable about your medical history and current medical status.

* 6. How would you rate Kadin Foot & Ankle Center?

* 7. How would you rate the office staff?

* 8. Mark all boxes that characterize the demeanor of your doctor:

* 9. Please share any comments/concerns?

* 10. How would you rate your doctor?

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