* 1. Staff are friendly and helpful when I call the office?

* 2. Staff are welcoming and courteous when I check in for an appointment?

* 3. I understand my patient rights, fees, and attendance policy?

* 4. The waiting room is clean, comfortable, inviting, and set up in a way that respects my privacy?

* 5. The provider I saw was...

* 6. The provider I saw was receptive to my concerns?

* 7. I have confidence in the provider I saw?

* 8. I feel my provider is helping me to achieve my goals?

* 9. The provider started and ended my sessions on time?

* 10. The provider I saw today was prepared and dependable?

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