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* 1. How would you rate the quality of service you have received?

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* 2. If a friend were in need of similar help, would you recommend us to them?

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* 3. The receptionist and front office staff seemed friendly and made me feel comfortable.

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* 4. The facilities were comfortable and attractive

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* 5. The clinician(s) I have seen listened and understood my concerns.

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* 6. If the issues for which I sought services affected my job, I have seen improvement at work.

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* 7. How satisfied were you with the location and accessibility of the facilities

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* 8. How satisfied were you with the flexibility and convenience of appointment scheduling/rescheduling.

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* 9. How satisfied were you with efforts to ensure and maintain your privacy and confidentiality?

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* 10. Please share any other comments you have below:

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