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    My staff and I do our best to provide the best possible service to our patients. These surveys are confidential. Thank you for assisting us as YOUR input will greatly help us to improve our service to you, the patient.

    Your First Name (required)

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    How satisfied are you with the way that your call was handled on the phone?
    Very SatisfiedSatisfiedNeutralUnsatisfiedNo comment

    How satisfied are you with the check-in process when you arrived to our office (were you treated in a friendly manner; was everything explained toyou)?
    Very SatisfiedSatisfiedNeutralUnsatisfiedNo comment

    How was your experience with the Nurse (were you greeted in a friendly manner)?
    Very SatisfiedSatisfiedNeutralUnsatisfiedNo comment

    How satisfied are you with the treatment that you received from the Doctor?
    Very SatisfiedSatisfiedNeutralUnsatisfiedNo comment

    How was the check-out process? Were your charges explained to you at the time of check-out?
    Very SatisfiedSatisfiedNeutralUnsatisfiedNo comment

    Are you likely to visit our practice again?
    Very likelyLikelyPossiblyI don't think soDefinitely not

    Would you recommend our office to others?
    Very likelyLikelyPossiblyI don't think soDefinitely not]

    Please tell us about your experience at our office.

    Do you have a Facebook Account?
    YesNo

    Do you have a Yelp Account?
    YesNo