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* 1. How would you rate your overall experience?

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* 2. Were you greeted in a prompt and friendly manner?

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* 3. Rate your wait time during your visit.

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* 4. Rate the friendliness and quality of care you received by our staff.

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* 5. Was the care you received from our doctor to your satisfaction?

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* 6. Rate how well your treatment was explained to you.

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* 7. Rate the likeliness you would recommend our center to friends and family.

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* 8. Please write any comments, questions or concerns you would like to share with us.

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