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* 1. Which practice location did you visit?

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* 2. Was this your first visit at this practice?

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* 3. How did you find or choose this practice?

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* 4. Was it easy or hard to schedule your appointment?

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* 5. How satisfied are you with your appointment scheduling process? (0 being not satisfied; 10 being very satisfied)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 6. How important is ease of scheduling to you? (0 being not important; 10 being very important)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 7. What do you think about this location?  Is it easy to find?

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* 8. How satisfied are you with the location of this practice? (0 being not satisfied; 10 being very satisfied)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 9. Is location an important factor for you when choosing a doctor? (0 being not important; 10 being very important)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 10. What did you think of the waiting room?

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* 11. How satisfied are you with your experience in the waiting room (0 being not satisfied; 10 being very satisfied)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 12. How important is the waiting room environment for you when visiting a practice? (0 being not important; 10 being very important)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 13. About how long did you wait?

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* 14. How satisfied are you with your wait time? (0 being not satisfied; 10 being very satisfied)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 15. Is how long you wait an important factor for your overall experience? (0 being not important; 10 being very important)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 16. About how long did you wait for your doctor once you were taken back?

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* 17. How satisfied are you with your wait time? (0 being not satisfied; 10 being very satisfied)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 18. Is how long you wait an important factor for your overall experience? (0 being not important; 10 being very important)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 19. What was your checkout process like?

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* 20. How satisfied are you with your checkin and checkout process? (0 being not satisfied; 10 being very satisfied)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 21. How important is ease of checkin and checkout to you? (0 being not important; 10 being very important)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 22. How did we make you feel?

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* 23. What things are the most important to you when you visit your primary care doctor?

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* 24. Are you satisfied with those factors at this practice?

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