How likely is it that you would recommend this company to a friend or colleague?

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

NOT AT ALL LIKELY
EXTREMELY LIKELY
Do you have any other comments, questions, or concerns?

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* 2. Do you have any other comments, questions, or concerns?

How well did our customer service representative answer your question or solve your problem?

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* 3. How well did our customer service representative answer your question or solve your problem?

During your most recent visit, did your healthcare provider seem to know the important information about your medical history?

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* 4. During your most recent visit, did your healthcare provider seem to know the important information about your medical history?

During your most recent visit, did you talk with your healthcare provider about any health questions or concerns?

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* 5. During your most recent visit, did you talk with your healthcare provider about any health questions or concerns?

In the last 12 months, how many times did you visit your healthcare provider?

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* 6. In the last 12 months, how many times did you visit your healthcare provider?

Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?

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* 7. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?

  10 Best provider possible 9 8 7 6 5 4 3 2 1 0 Worst provider possible
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How long have you been going to your healthcare provider?

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* 8. How long have you been going to your healthcare provider?

Overall, how would you rate the service you received from the staff at our office?

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* 9. Overall, how would you rate the service you received from the staff at our office?

Would you recommend your healthcare provider’s office to your family and friends?

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* 10. Would you recommend your healthcare provider’s office to your family and friends?

T