1. The following questions pertain to your immediate perception of this professional setting

* 1. Is the level of quietness in the waiting room satisfactory?

* 2. If the previous answer was either "Decent" , "Insufficient" or "Very poor"; please let me know your concerns:

* 3. Please evaluate the overall cleanliness of the following spaces:

  Spotless Very clean Reasonable Needs work
Waiting room
Office
Bathroom

* 4. Can you please evaluate your average waiting time before consultation? Do you have any recommendations to improve your experience?

* 5. When you contact me, do I respond to you via email/phone in a timely manner?

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