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  1. Surveys
  2. 2015
  3. January
  4. C
  5. Customer Satisfaction
0%
Exit Survey
 
 
 You are invited to participate in our survey Customer service Survey. In this survey, approximately you will be asked to complete a survey that asks questions about your visit with us. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
 
 
 
 
Was this your first time being seen here?
 
Yes
 
No
 
 
Would you recommend family and friends to our office to be seen?
 
Yes
 
No
 
 
How likely are you to continue being seen here by us?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
How would you rate your overall satisfaction with us?
 
Very satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Very dissatisfied
 
 
How long have you been coming to our office?
 
Less than 6 months
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
What range include your age?
 
Younger than 18
 
18-24
 
25-34
 
35-44
 
45-54
 
55-64
 
65 or older
 
Prefer not to answer
 
 
Do you have any suggestions for improvement?
   
 
 
Can you describe how your visit went on today?
   
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