* 1. How would you rate your overall satisfaction with your visit?

* 2. If this was your first visit, what is the likelihood you would return to this office?

* 3. How likely are you to recommend this office to family and friends?

* 4. How easy was it to schedule a visit with this office?

* 5. Was the person who answered your call courteous and helpful?

* 6. Was the reception staff professional and helpful at your check in?

* 7. The comfort, cleanliness and amenities of the office was;

* 8. Length of time you waited to see the provider was;

* 9. The professionalism and helpfulness from the nurse or medical assistant was;

* 10. The effectiveness of the nurse or medical assistant was;

* 11. Which provider did you see?

* 12. Did the provider spend enough time with you during your visit?

* 13. Explanation of procedures,diagnosis and/or treatment plan was?

* 14. Courtesy of the provider was?

* 15. Timeliness of laboratory/ultrasound results were;

* 16. Ease of retrieving results electronically was;

* 17. The mission of Bellegrove Ob/Gyn is to provide excellent healthcare. Please share with us how we can improve our service:

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