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* 1. How was your past appointment?

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* 2. Was this your first time seeing Dr. Bitar?

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* 3. How did you hear about At Home Pediatric Medicine?

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* 4. Is there any feedback you would like to provide us?

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* 5. How likely is it that you would recommend At Home Pediatric Medicine to a friend or colleague?

Not at all likely
Extremely likely

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