This survey is secure and HIPAA compliant

* 1. How likely is it that you would recommend RBOI to a friend or family member?

Not at all likely
Extremely likely

* 2. On your last visit, did your doctor explain things in a way that was easy to understand?

* 3. Did your doctor listen carefully to you?

* 4. Did your doctor answer all of your questions and concerns?

* 5. Did your doctor seem to know the important information about your medical history?

* 6. Did your doctor show respect for what you had to say?

* 7. Did your doctor spend enough time with you?

* 8. How much do you trust your provider to make medical decisions that are in your best interests?

* 9. In your opinion, how convenient is the location of our office?

* 10. How comfortable was the lobby and waiting area?

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

* 12. Would you like to provide any other feedback?

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