Customer Satisfaction Survey

1. About This Survey

This survey should only take a few minutes to complete - thank you for taking the time to share your feedback with us.

PLEASE NOTE: This anonymous survey is not under a secure connection so please do not put any patient identifiable information in the comments section.

Please share your feedback about the care provided by our team. Your responses are used to improve the patient experience and we also share them with our staff. All responses will be kept anonymous unless you otherwise indicate. Thank you for your time and sharing your thoughts about how we are doing.

Thank you.

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* 1. Your Sex?

Female

Male

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* 2. Your Age?

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* 3. Was this visit for:

You

Someone else you are completing the survey for.

7% of survey complete.