OACH Patient Survey

* 1. O5/22/2017

Date / Time
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* 4. How long has it been since your child's most recent visit with us? (this includes any of our services)

* 5. Physician/Practitioner/Dentist/Technician/Therapist

  Strongly Agree Agree No Opinion/Not Applicable Disagree Strongly Disagree
Listened carefully to you and your child
Explained things in a way that was easy to understand
Answered all questions to  your satisfaction

* 6. Nurses and Assistants

  Strongly Agree Agree No Opinion/Not Applicable Disagree Strongly Disagree
Were friendly and helpful to you and your child
Answered your questions
Maintained a professional manner throughtout your visit
Report a problem

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