* 1. Which of our offices did you visit?

* 2. Was this your first visit to Waterbury Pulmonary?

* 3. If you were tested during your visit, what kinds of tests were preformed?

* 4. Please rate your satisfaction regarding the amount of time you waited in the waiting room, assuming that you arrived at your scheduled appointment time.

* 5. How long did you spend in our waiting room before being called in for your appointment?

* 6. Please rate your satisfaction with:

  Excellent Good Fair Poor N/A
Our reception staff:
Our reception and registration process:
Our technologist (the person performing your exam)

* 7. How did your hear about us?

* 8. Would you recommend us to a friend or family member?

* 9. How could we improve today's experience?