* 1. How did you find us?

* 2. How satisfied were you with the wait time?

* 3. How satisfied were you with the care you received at our clinic?

* 4. Did the nurse spend enough time with you?

* 5. Did the doctor spend enough time with you?

* 6. Would you recommend our clinic to a friend or family member?

* 7. What do you think we can do to improve our service?

* 8. Please use the space below to add any other comments you may have.

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