1.How was your visit?

1 star

2 stars

3 stars

4 stars

5 stars

2.Which provider did you see?

Dr Williard

Leslie

Dominic

Jodie

Calandra

Other (please specify)

3.Did you observe our staff cleaning hands with soap and water or hand sanitizer appropriately during your appointment?

Yes

No

Do not remember

4.Is there anything that could have made your appointment better?

5.Additional suggestions or comments?