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* 1. What service did you receive today?

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* 2. Please rate the quality of service that you received today.

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* 3. What is the name of the person that assisted you with your visit today?

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* 4. Please rate the quality of service you received from the person that assisted you.

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* 5. Was he/she courteous and helpful?

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* 6. Please give the name and rate the way that you were treated by the Receptionist.

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* 7. Please rate your overall experience at Pathway today.

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* 8. Would you recommend Pathway to a friend?

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* 9. Why or why not?

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* 10. Please share any additional comments or suggestions.

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