PATIENT SATISFACTION SURVEY DX 9% of survey complete. Question Title * 1. APPOINTMENT (Required.) Date Date Question Title * 2. Appointment Time (Required.) 6:45 7:00 7:15 7:30 7:45 8:00 8:15 8:30 8:45 9:00 9:15 9:30 9:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 1:00 1:15 1:30 1:45 2:00 2:15 2:30 2:45 3:00 3:15 3:30 3:45 4:00 4:15 4:30 Question Title * 3. Were you able to schedule your appointment quickly and easily?' (Required.) YES NO Question Title * 4. Which office did you visit? (Required.) Brighton, Sawgrass Drive Carthage Greece Victor Batavia Geneseo Webster Watertown Question Title * 5. Is this your very FIRST appointment with EWBC at any of our locations for any of our services? (Required.) NO YES Next
