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* 1. Overall, how satisfied or dissatisfied were you with your last visit to our office?

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* 2. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

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* 3. How convenient was the appointment time you were able to get?

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* 4. In your opinion, how convenient is the location of our office?

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* 5. Overall, how would you rate the service you received from the staff at our office?

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* 6. How comfortable was the waiting area?

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* 7. Did your appointment with your provider start early, late or on time?

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* 8. Overall, how would you rate the consultation you had with the doctor or nurse at Independent Medical Services?

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* 9. How much do you trust Independent Medical Services to make medical decisions that are in your best interests?

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* 10. How well did the doctor or nurse listen to you during the consultation?

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* 11. How well did the doctor or nurse answer your questions?

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* 12. If you attended for an Occupational Health assessment, how well did the doctor explain the purpose of the assessment?

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* 13. If you attended for an Occupational Health assessment, how well did the doctor explain the consent process for the release of a report to your employer?

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* 14. Is there anything we could have done to improve your last visit?

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