Overall, how satisfied were you with your visit?
If not satisfied, please tell us what we could have done to make your visit better.
Did you experience a long wait time?
No, I got in right away
No, I waited a small amount of time
Yes, but I expected the wait
Yes, and I did not expect to wait that long
How courteous and professional was our staff?
Extremely courteous and professional - they went out of their way to attend to me
Somewhat courteous and professional
Not at all - I was not treated with courtesy and respect
How likely are you to recommend us to others?
Was everything explained to you in a way you could understand?
Not At All
Any Additional Comments?
You may use my comments online as a testimonial of your services.
Yes, of course!
No, please keep my comments private
Please do not disclose personal health information on this form. By completing and submitting this form, you consent to us communicating with you by email about this survey. Thank you.
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