When did you last visit our hospital?

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* 1. When did you last visit our hospital?

How easy and pleasant was it to make the appointment?

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* 2. How easy and pleasant was it to make the appointment?

What was the purpose of your visit?

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* 3. What was the purpose of your visit?

Were your concerns addressed to your satisfaction?

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* 4. Were your concerns addressed to your satisfaction?

Did your appointment start early, late or on time?

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* 5. Did your appointment start early, late or on time?

Which doctor did you see?

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* 6. Which doctor did you see?

If not here for an appointment, were your needs attended to in a timely fashion?

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* 7. If not here for an appointment, were your needs attended to in a timely fashion?

How helpful and friendly was our reception staff?

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* 8. How helpful and friendly was our reception staff?

How helpful and friendly was our exam room staff?

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* 9. How helpful and friendly was our exam room staff?

How helpful and friendly was your doctor?

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* 10. How helpful and friendly was your doctor?

What could we have done to improve your last visit?

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* 11. What could we have done to improve your last visit?

Would you like us to contact you in regard to this survey?

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* 12. Would you like us to contact you in regard to this survey?

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