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* 1. How long have you been a patient in our practice?



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* 2. How satisfied are you with your doctor's skill in listening to your health concerns?

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* 3. How satisfied are you with the amount of time the doctor takes to answer your questions?

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* 4. How satisfied are you with the explanation of your condition and your treatment options?

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* 5. How satisfied are you with caring and professionalism of our medical assistant?

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* 6. How well were you treated by  our front office staff?

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* 7. Your overall satisfaction with your care at our office.

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* 8. What can we do to the improve your experience with our office?

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* 9. How likely are you to recommend us to a family member or friend?

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