* 1. In what department was your appointment?

* 2. How would you rate your satisfaction with getting through to the clinic by phone?

* 3. How would you rate your satisfaction with the length of time you waited to get your appointment?

* 4. How would  you rate your satisfaction with getting to see the provider you wanted?

* 5. How would you rate the professionalism of your provider?

* 6. How happy are you with the amount of time your provider spent with you today?

* 7. For responses less than good, please let us know how we can improve your experience.

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