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* 1. Which Doctor did you see

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* 2. Which site did you visit?

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* 3. Was this your first visit?

How would you rate the following?

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* 4. Ease in getting through to us by phone

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* 5. Courtesy of staff taking your call

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* 6. Time between making your appointment and visit date.

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* 7. The waiting room and amenities were clean and presented well.

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* 8. Waiting time to see the doctor.

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* 9. Doctor's personal manner (courtesy, respect, sensitivity).

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* 10. Doctor's instruction regarding care and treatment.

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* 11. Enough time and comfort to ask questions.

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* 12. Likelihood that you would recommend us to a friend or relative.

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* 13. How did you hear about us?

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* 14. Did you visit our website to gain further information?

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* 15. If yes, before or after consultation?

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* 16. Which category below includes your age?

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* 17. Any comments?

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* 18. Please enter your email, if you would like to receive Sunshine Coast Brain & Spine news

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