17% of survey complete.

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* 1. Date of your APPOINTMENT

Date

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* 2. Scheduled time of your appointment

Time

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* 3. Which office did you visit?

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* 4. What is your age?

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* 5. What types of appointment(s) were you scheduled for? 

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* 6. Is this your very FIRST appointment ever with EWBC?
Answer NO if you have just switched locations (For example: switching from Brighton to the Webster location).

T