Patient Satisfaction Survey

How would you rate the person who greeted you at our office today? *
How would you rate the nurse who took your vitals today? *
How would you rate the physician who treated you today? *
How would you rate the wait time? *
May we share your comments on our web site?  (We keep patient names confidential) *
If you would like for a member of our team to contact you regarding your visit today, please provide us with the information below:
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