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* 1. Please rate your overall experience with Oak Park Pediatrics

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* 2. Was there anything any member of our staff could have done to improve your experience?

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* 3. How would you rate your experience with the front desk?

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* 4. Please comment on your experience with the front desk

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* 5. How would you rate your experience with the nursing staff?

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* 6. Please comment on your experience with our nurses

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* 7. How would you rate your experience with the physician?

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* 8. Please comment on your experience with our physicians

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* 9. Do you have any additional comments or concerns you would like to share with us?

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* 10. If you would like to be contacted in regards to your responses, please provide the contact information below.

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