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* 1. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

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* 2. How comfortable was the lobby and waiting area?

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* 3. How helpful was our provider at explaining your medical condition(s)?

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* 4. How friendly is Dr Gilvydis's office staff?

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* 5. How well did our medical staff provide education about your vein disease?

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* 6. How satisfied or dissatisfied were you with the amount of time our provider spent with you addressing your needs?

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* 7. If you spent more than 15 minutes waiting during your appointment, did someone tell you why there was a delay or how long the delay would be?

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* 8. Overall, how satisfied or dissatisfied were you with your most recent visit to our office?

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* 9. How likely is it that you would recommend Northern Illinois Vein Clinic to a friend or colleague?

Not at all likely
Extremely likely

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* 10. When compared to before your treatment, how has treatment improved your legs or your lifestyle? You may also write any other comments, questions, or concerns in this space. (Please include your initials if you would like us to use these comments for marketing purposes.)

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