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Selena and Abby
1.
About how long was your wait time?
1-5 minutes
6-10 minutes
11-20 minutes
21-30 minutes
31+ minutes
2.
What was your purpose of coming to the hospital? (Check all that apply)
Appointment
Emergency
Surgery
Visit
Other
3.
Please rate the following:
Very unsatisfied
Unsatisfied
Somewhat satisfied
Satisfied
Very satisfied
Cleanliness of building
Very unsatisfied
Unsatisfied
Somewhat satisfied
Satisfied
Very satisfied
Employee friendliness
Very unsatisfied
Unsatisfied
Somewhat satisfied
Satisfied
Very satisfied
Employee availability/helpfulness
Very unsatisfied
Unsatisfied
Somewhat satisfied
Satisfied
Very satisfied
Employee knowledge
Very unsatisfied
Unsatisfied
Somewhat satisfied
Satisfied
Very satisfied
4.
What is your gender?
Male
Female
Other
5.
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
6.
Would you recommend this hospital to others?
Yes
No
Current Progress,
0 of 6 answered