* 1. Which Provider did you visit?

* 2. Ease of making an appointment:

* 3. Ease of registration and check-in process:

* 4. The courtesy and respect of our team: receptionist, medical assistants, sonographers, providers, billing staff:

* 5. Overall communication by the office: during phone calls, giving test results, explanation and answering questions:

* 6. Overall satisfaction with the practice:

* 7. How did you hear about us?

* 8. Would you recommend our practice to others? If not, explain why.

* 9. Where do you think we have room for improvement in our services?

* 10. Please use the space provided below for any additional comments.

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