1. Default Section

Optional- your name:

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* 1. Optional- your name:

Optional- your phone number (required to be eligible for prize)

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* 2. Optional- your phone number (required to be eligible for prize)

Was this your first appointment in our office?

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* 3. Was this your first appointment in our office?

In which office were you seen for your appointment?

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* 4. In which office were you seen for your appointment?

The receptionist acknowledged my arrival promptly.

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* 5. The receptionist acknowledged my arrival promptly.

The receptionist was courteous and friendly.

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* 6. The receptionist was courteous and friendly.

Scheduling my appointment on the phone was quick and easy.

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* 7. Scheduling my appointment on the phone was quick and easy.

Contacting the office by phone was easy.

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* 8. Contacting the office by phone was easy.

The scheduler answered the phone in a pleasant tone and identified herself by name.

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* 9. The scheduler answered the phone in a pleasant tone and identified herself by name.

I was able to find the office using directions supplied by my doctor.

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* 10. I was able to find the office using directions supplied by my doctor.

The scheduler informed me of the billing/financial policies of the practice.

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* 11. The scheduler informed me of the billing/financial policies of the practice.

The waiting room was clean and comfortable.

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* 12. The waiting room was clean and comfortable.

Once here, I was taken back for my appointment in a timely manner.

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* 13. Once here, I was taken back for my appointment in a timely manner.

The genetic counselor introduced herself/himself and explained why I was scheduled for genetic counseling.

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* 14. The genetic counselor introduced herself/himself and explained why I was scheduled for genetic counseling.

The genetic counselor explained my risk factors and the testing options available to me in a way that was easy to understand.

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* 15. The genetic counselor explained my risk factors and the testing options available to me in a way that was easy to understand.

The genetic counselor answered all of my questions/concerns to my satisfaction.

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* 16. The genetic counselor answered all of my questions/concerns to my satisfaction.

Overall, I feel that the genetic counseling session was helpful to me.

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* 17. Overall, I feel that the genetic counseling session was helpful to me.

The sonographer was friendly and helpful.

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* 18. The sonographer was friendly and helpful.

The ultrasound exam room was clean and comfortable.

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* 19. The ultrasound exam room was clean and comfortable.

The sonographer explained the exam and answered my questions.

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* 20. The sonographer explained the exam and answered my questions.

The physician introduced herself/himself and explained the results of my exam.

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* 21. The physician introduced herself/himself and explained the results of my exam.

The scheduler informed me of directions from the website www.dcmfm.com.

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* 22. The scheduler informed me of directions from the website www.dcmfm.com.

All of my questions and concerns were addressed to my satisfaction.

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* 23. All of my questions and concerns were addressed to my satisfaction.

I was rescheduled/checked out quickly and efficiently.

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* 24. I was rescheduled/checked out quickly and efficiently.

The staff seemed very interested in delivering great customer service.

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* 25. The staff seemed very interested in delivering great customer service.

Overall, I would rate my experience at the Delaware Center for Maternal and Fetal Medicine of Christiana Care as:

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* 26. Overall, I would rate my experience at the Delaware Center for Maternal and Fetal Medicine of Christiana Care as:

If there were one thing we could change to make your experience better, what would it be:

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* 27. If there were one thing we could change to make your experience better, what would it be:

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