Your Provider

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* 1. Your Provider

What is your age?

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* 2. What is your age?

Was this your first visit to our office?

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* 3. Was this your first visit to our office?

How many minutes did you wait after you scheduled your appointment time before you were called to the exam room?

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* 4. How many minutes did you wait after you scheduled your appointment time before you were called to the exam room?

How many minutes did you wait in the exam room before your provider arrived?

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* 5. How many minutes did you wait in the exam room before your provider arrived?

If you waited longer than 15 minutes, did the staff keep you informed of wait status?

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* 6. If you waited longer than 15 minutes, did the staff keep you informed of wait status?

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