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* 1. How did you hear about Dr. Tyuluman and his Clinic, Designs for Wellness?

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* 2. How likely is it that you would recommend Dr Tyuluman to a friend or family member?

Not at all likely
Extremely likely

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* 3. You were treated courteously by the front office staff

0 Agree 100
i We adjusted the number you entered based on the slider’s scale.

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* 4. You were treated professionally by the medical staff

0 Agree 100
i We adjusted the number you entered based on the slider’s scale.

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* 5. You were treated courteously when contacting the office by phone or email?

0 Agree 100
i We adjusted the number you entered based on the slider’s scale.

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* 6. Did you know that Dr. Tyuluman does not require health insurance?

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* 7. Do you currently have medical insurance?

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* 8. How can we improve?

T