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Q.1
Ease of making your appointment
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.2
The courtesy of our staff during your appointment
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.3
Waiting time before seeing the physician
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.4
Ability of our practice to communicate with you (return calls, keep you informed,etc...)
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.5
Doctor's willingness to listen carefully to you
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.6
Amount of time spent with you during the appointment
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.7
The thoroughness of examination
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.8
Explanations, instructions, advice given to you
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.9
Comfort of our facility & hours of operation.
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
Q.10
Your overall satisfaction with the quality of your medical care
5 Excellent
4 Very Good
3 Good
2 Fair
1 Poor
N/A - Does Not Apply
Comments:
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