100% of survey complete.

* 1. How did you choose our practice?

* 2. Your telephone experience with us:

* 3. Your impression of our receptionists (in person)

  Yes No
Greeted me when I came in
Introduced Herself
Seemed warm and cheerful
Gave me her undivided attention
Seemed Hospitable
Answered all my questions
Ignored me
Seemed rude

* 4. Your Impression of Our Waiting Room

* 5. Your Impression of our Website

* 6. Your impression of Dr. Luis Mizraji

  Strongly Disagree Disagree Agree Strongly Agree
Introduced himself
Listened attentively to what I said
Gave clear answers
I did not feel rushed through my visit
Answered my questions
Made me feel valued and welcome
Seemed proficient and knowledgeable
Gave me the information I needed

* 7. Your Impression of Dr. Jayne Mizraji

  Strongly Disagree Disagree Agree Strongly Agree N/A
Introduced herself
Listened attentively to what I said
Gave clear answers
Answered my questions
Made me feel valued and welcome
I did not feel rushed through my visit
Seemed proficient and knowledgeable
Gave me the information I needed

* 8. Additional Questions

  Yes No
Was your waiting time reasonable?
Do you feel the fees were reasonable?
Did you understand all our fees?
Would you recommend our office to others?

* 9. Do you have any suggestions for improving the office, staff, or procedures?

* 10. Do you have a health success story you would like to share? Please include it below. You can include your name or choose to keep it anonymous.

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