How Was Your Recent Visit?

We appreciate you taking the time to let us know how we're doing.

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* 1. Please rate the friendliness of our reception staff below.

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* 2. Please rate the helpfulness of our nursing staff below.

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* 3. Please rate the satisfaction of your visit with the provider you saw below.

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* 4. Please rate the cleanliness of our office below.

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* 5. How did you hear about us?

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* 6. Please list any concerns/comments you might have for us below.

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