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* 1. How likely is it that you would recommend this clinic to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 2. Overall, how satisfied or dissatisfied are you with this clinic??

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* 3. Which of the following words would you use to describe this clinic ? Select all that apply.

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* 4. How well does the clinic meet your needs?

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* 5. How long have you been a patient of the clinic?

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* 6. How well were your needs met during your last appointment?

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* 7. Do you have access to a smart phone and a private wifi connection?

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* 8. Do you have a laptop or desktop computer with a webcam and online access?

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* 9. How interested are you in online video appointments?

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* 10. What is your contact information?

0 of 10 answered
 

T