1. Introduction

 
17% of survey complete.

Dear Patient: Our goal is to provide comfort, convenience, and satisfaction as well as the very best medical care to all our patients. We'd like to know how you feel about our medical services, our physician and staff members. Your comments will help us evaluate our operations to ensure that we are truly responsive to your needs.

This survey should take about 5 minutes of your time and your answers will remain anonymous. If you have any questions please contact us at surveyhelp@activatehealthcare.com. Thank you for your time.

Please answer the questions from the patient's perspective.

Question Title

2. What was the date of your visit?

Date:

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