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How helpful and courteous were the receptionist during your visit today? Helpful
How helpful and courteous were the receptionist during your visit today?
Helpful ←————————-> Not Helpful
5 4 3 2 1
How helpful and courteous were the clinical staff during your visit today?
Helpful ←————————-> Not Helpful
5 4 3 2 1
How well did your provider listen carefully and respect what you had to say?
Very Well ←————————-> Not Well
5 4 3 2 1
How well did you understand your plan of care / next steps?
Very Well ←————————-> Not Well
5 4 3 2 1
If you called the office prior to this visit, how easy was it to reach the right person to answer your question?
Easy ←——————————–> Difficult
5 4 3 2 1
What is your sex
Female
What is your age
Under 21
21-34
35- 59
60-74
75 or older

