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Please take a few moments to complete this short survey so that we may better serve you.

 
 
 
Overall, how satisfied are you with the service you received?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
 
Please explain your response to question # 1.
   
 
 
Please quantify (in terms of time or money), if possible, the practice benefit of the assistance you received.
   
 
 
Please briefly explain the reason for requesting AOA assistance.
   
 
 
Do you have advice or words of encouragement to give other DO practices who are dealing with this issue? Please explain.
   
 
 
Are there educational resources that you would like the AOA to provide? Please list.
   
 
 
If you are a member of the AOA, would you recommend joining the AOA to others? If not, please explain.
   
 
 
Would you like to share your experience with other DO practices?
 
YES, please provide contact information below and you will be contacted by AOA staff.
 
NO
 
Contact information
 
 
 
 
Thank you for your feedback and for your willingness to assist us in helping all osteopathic physicians.
 
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