* 1. Ability to be seen: How satisfied were you with the appointment availability?

* 2. Waiting: How satisfied were you with your time in the waiting room

* 3. Staff: Was the staff friendly and helpful to you?

* 4. Staff: Did the provider take enough time with you?

* 5. Staff: Do you feel that the provider explained what you need to know?

* 6. Facility: Was the facility clean and organized?

* 7. How likely are you to refer your family or co-workers to use the center?

* 8. Do you have any other comments, questions, or concerns?

* 9. Which clinic location did you visit today?