* 1. Please tell us the best way to contact you (The information you provide us with will remain confidential)

* 2. Please tell us which ASA (Allergy Services of America, LLC) location you visited

* 3. Rate the courtesy of the personnel taking your call

* 4. Convienence of office hours

* 5. How long did you have to wait to see the Physician?

* 6. Please rate the Doctors explanation of the tests you had done (Tests, Diagnosis and treatment)

* 7. Did the ASA technician greet you in a courteous and professional manner?

* 8. Did the ASA Lab appear to be clean, neat and organized?

* 9. Did the ASA Technician explain the testing procedure to you?

* 10. Your opinion is important to us, please leave any addittional comments below

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