We want to hear from you! Our patients satisfaction with the work we do is important.

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* 1. Overall, how satisfied or dissatisfied were you with your last visit to our office?

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* 2. For your most recent visit, which provider did you see?

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

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* 4. If you needed to see your chiropractor on an emergency like visit, did you get to see the chiropractor as soon as you wanted?

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* 5. How satisfied or dissatisfied are you with the amount of time your provider spends with you addressing your needs?

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* 6. How satisfied or dissatisfied are you with the insurance billing process handled in our office?

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* 7. How friendly was the receptionist when you arrived at our office?

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* 8. In the last 12 months how often did receptionists at your chiropractor's office treat you with courtesy and respect?

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* 9. When checking out of our office, how often did the receptionist ask you to schedule another appointment following your care plan?

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* 10. When checking out from our office, how often did the receptionist collect your copay or deductible expected patient balance?

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* 11. Did you know we offer massage therapy services?

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* 12. How comprehensive is our retail items offered?

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* 13. How well did your provider answer your questions?

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* 14. In the last 12 months, how many times did you visit your healthcare provider?

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* 15. During your most recent visit, did your healthcare provider listen carefully to you?

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* 16. During your most recent visit, did your healthcare provider explain things in a way that was easy to understand?

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* 17. During your most recent visit, did your healthcare provider make you feel pressured to return sooner than you felt you needed?

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* 18. Overall, how easy do you find it to schedule appointments for adjustments?

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* 19. Overall, how easy do you find it to schedule appointments for massage?

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* 20. Did your appointment with your provider start early, late or on time?

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* 21. How likely is it that you would refer a friend, neighbor, co-worker or family member to see Dr. Sam?

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* 22. How likely is it that you would refer a friend, neighbor, co-worker or family member to see Kylie Csukor, LMT?

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* 23. How important is our practice location to your decision to receive care with us?

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* 24. If our clinic were to move to the south end of Belvidere, still in Boone County would you continue your care with us?

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