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* 1. Do you feel that you are greeted and received well when you come to the clinic?

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* 2. Do you feel that you are greeted and received well when you call the clinic?

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* 3. Are there things we could be improving upon in terms of customer service?

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* 4. Do you have difficulty scheduling, changing, or canceling your appointments?

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* 5. Do you find the clinic space welcoming and comfortable?

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* 6. Are you satisfied with your experience of the clinic staff, providers, and accommodations?

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* 7. Are there things we could be improving upon in terms of the clinic space and accommodations?

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* 8. If you are familiar with our website and/or Facebook page, do these resources provide the information you need?

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* 9. If you see one or more providers in the clinic, do you feel that the services offered meet your needs?

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* 10. Are there services you would like to see offered at the clinic?

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* 11. If you have appreciation, testimonials, or ways that you feel that we have met or exceeded your expectations, please do share it here. We do like to hear about what we are doing well in addition to the ways we can improve upon your experience. Thank you!

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