Dr's Office Feedback

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* 1. How satisfied were you with the patient check-in process?

Extremely satisfied

Very satisfied

Somewhat satisfied

Not so satisfied

Not at all satisfied

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* 2. How satisfied were you with your nursing staff?

Extremely satisfied

Very satisfied

Somewhat satisfied

Not so satisfied

Not at all satisfied

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* 3. How satisfied were you with the patient check-out process?

Extremely satisfied

Very satisfied

Somewhat satisfied

Not so satisfied

Not at all satisfied

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* 4. How satisfied were you with your Doctor?

Extremely satisfied

Very satisfied

Somewhat satisfied

Not so satisfied

Not at all satisfied

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* 5. Do you have any thoughts on how we can improve your patient experience?