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* 2. Date and Time of Video Visit

Date
Time

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* 3. On a scale of 1-5, 1 being very unsatisfactory and 5 being the best, please rate the following:

  1 2 3 4 5
Video Quality
Audio Quality
Ease of Accessing the Video Visit
Ease of Scheduling the Video Visit
Convenience of Video Visits
Duration of the Visit

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* 5. Age Group

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* 6. What did you like best about your video visit?

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* 7. Are there any improvements you would like to suggest for video visitation?

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* 8. If there are any additional comments you have about video visitation, please share them here:

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