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* 1. Which provider did you visit?

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* 2. Overall, how easy do you find it to schedule appointments?

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* 3. Ease of registration and check-in process:

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* 4. Wait time includes time spent in the waiting room and exam room. During your most recent visit, how would you rate your wait time?

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* 5. The courtesy and respect of our team:  receptionists, medical assistants, sonographers, providers, billing staff:

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* 6. Communication by the office:  during phone calls, giving test results, explanation and answering questions:

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* 7. Overall, how satisfied or dissatisfied are you with our office?

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* 8. How did you hear about us?

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* 9. Where do you feel we have room for improvement?

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* 10. Please use the space provided below for any additional comments.

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