1. Patient Satisfaction Survey

Dear Patient: As part of our ongoing efforts to provide the highest quality service to our patients we are very interested in receiving your feedback about the care you received from our office. Please take a few minutes to complete this survey and return it to us. Your responses are very important to us. Your answers will be kept confidential and all results will be aggregated and utilized to improve patient care. Thank you in advance for your help.

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* 1. Which provider(s) do you normally see at our practice?

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* 2. How would you rate your satisfaction with the process for making appointments?

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* 3. How would you rate your satisfaction with your ability to get an appointment as quickly as you wanted?

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