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Doctor's Office Patient Satisfaction Survey
*1.
How likely is it that you would recommend our office to a friend or colleague?
Not at all likely | Extremely likely |
0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
2.
Did your appointment with your provider start early, on time or late?
Very early
Somewhat early
On time
Somewhat late
Very late
3.
How would you rate the service you received from your provider?
Not at all likely | Extremely likely |
0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
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