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Were you greeted properly?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
The paperwork that was given to you was clear and easy to understand.
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Did your wait past your scheduled time?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was the waiting area crowded?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was the office clean and presentable?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was the billing easy to understand?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was the staff friendly?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was the staff available to you and were they willing to help?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was the staff knowledgeable?
 
Satisfied
 
Neutral
 
Disatisfied
 
 
 
Was your visit a positive experience and were your needs met?
 
Satisfied
 
Neutral
 
Disatisfied
 
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