Page 1 of 2

Please rank your satisfaction with our services in the following areas:

* 1. The initial call to the office was informative and helpful

* 2. The length of time it took to get an appointment

* 3. The length of time you spent in the office waiting to be seen

* 4. The physician environment in the office was comfortable, clean, and organized

* 5. You were treated professionally and with respect by the staff and the physician(s)

* 6. The surgical and non-surgical options provided

* 7. The website is informative and registration forms online were helpful