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

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

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

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

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

* 6. Please comment on your experience with our nurses

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

* 8. Please comment on your experience with our physicians

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

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

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