We would like to ask you about your experience with our office. Thank you for helping us continue to improve the care we provide for our patients.

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* 1. Overall, how easy do you find it to schedule appointments?

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* 2. Did your appointment start early, late or on time?

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* 3. Overall, how would you rate the service you received at the reception area of our office?

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* 4. During your most recent visit, did the medical assistants and technicians at your healthcare provider’s exam areas treat you with courtesy and respect?

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* 5. How would you rate the accuracy and timeliness our billing department?

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* 6. How satisfied are you with the cleanliness and appearance of our facility?

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* 7. Who was your provider?

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* 8. How well did your provider explain your diagnosis and treatment?

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* 9. How well did you respond to your provider's treatment?

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* 10. How likely is it that you would recommend our office to a friend or family member?

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