Overall, how satisfied were you with your last visit with us?

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* 1. Overall, how satisfied were you with your last visit with us?

Which provider did you see for your appointment?

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* 2. Which provider did you see for your appointment?

Overall, how would you rate the service of the front desk staff during your appointment experience.

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* 3. Overall, how would you rate the service of the front desk staff during your appointment experience.

Overall, how would rate the service of the medical assistant during your appointment experience.

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* 4. Overall, how would rate the service of the medical assistant during your appointment experience.

How was your wait time today?  (Wait time includes time spent in the waiting room and exam room.)

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* 5. How was your wait time today?  (Wait time includes time spent in the waiting room and exam room.)

Overall, how would you rate the care you received from your provider?

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* 6. Overall, how would you rate the care you received from your provider?

How well does your provider listen to you?

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* 7. How well does your provider listen to you?

In general, how thoroughly are your treatment options explained to you during an appointment with your provider?

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* 8. In general, how thoroughly are your treatment options explained to you during an appointment with your provider?

If you received Imaging or Labs how satisfied where you? 

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* 9. If you received Imaging or Labs how satisfied where you? 

Do you have any other comments, questions, or concerns?

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* 10. Do you have any other comments, questions, or concerns?

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