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* 1. Was it convenient to reach our office by telephone? Were you treated respectfully by the staff on the phone?

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* 2. Were you satisfied with the time and day of your scheduled appointment?

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* 3. Overall rating of your experience when you called our office?

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* 4. Was our office difficult to find?

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* 5. Were you treated respectfully by staff in the office during your appointment?

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* 6. Which provider did you see today? Were you treated respectfully and have enough time with your provider?

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* 7. Are you able to speak with and understand your provider easily?

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* 8. With the information your provider has given to you, are you comfortable managing the care of your child?

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* 9. Are you satisfied with the care you received at Aquidneck Pediatrics?

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* 10. Name (optional)

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