Exit this Survey Mi Doctora Question Title * 1. Nombre de Paciente/Patient Name Question Title * 2. Email Question Title * 3. Numero de su cita/Encounter Number Question Title * 4. Proveedor/Provider Proveedor Mily Nieves, MD Cristina Diaz, CNM Luciana Anthony, NP Terri Patin, WHNP Proveedor menu Other (please specify) Question Title * 5. Locacion/Location Oficina Mi Doctora en Southern Question Title * 6. Que tan probable es que regreses a nuestra oficina?/How likely are you to return to the office for your healthcare needs? Muy probable Probable Neutral No es probable Question Title * 7. Que tan probable es que nos recomiendes con tu familia o amistades?/How likely are you to refer your family and friends to the practice? Muy probable Probable Neutral No es probable Question Title * 8. Satisfaccion en General/Overall Satisfaction 5 Estrellas 4 Estrellas 3 Estrellas 2 Estrellas 1 Estrella Question Title * 9. Cuentanos sobre tu experiencia/Tell Us About Your Experience Submit response >>