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Exit Survey
 
 
How would you rate the ease of making an appointment?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
How would you rate the time of completetion
 
Excellent
 
Good
 
Fair
 
Poor
 
Not applicable
 
 
 
How would you rate the explanation of the work performed?
 
Excellent
 
Good
 
Fair
 
Poor
 
Not Applicable
 
 
 
How would you rate the courtesy of the staff?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
Did we fix the problem?
 
Yes
 
No
 
Not Applicable
 
 
 
How would you rate your overall service experience?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
Comments/Suggestions:
   
 
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