Cespedes and Cespedes MD, PLLC.

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* 1. What is your age?

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* 2. What is your gender?

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* 3. During your most recent visit, did your healthcare provider listen carefully to you?

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* 4. In the last 12 months, when you phoned your healthcare provider’s office during regular office hours, how often did you get an answer to your medical question that same day?

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* 5. How well did your provider explain your follow-up care?

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

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* 7. Overall, how satisfied or dissatisfied were you with your last visit to our office?

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

Not at all likely
Extremely likely

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* 9. Is there anything we could have done to improve your last visit?

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

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