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Patient Satisfaction Survey
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Neurology Center Patient Satisfaction Survey
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How satisfied were you with your visit today?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Did the Provider address all of your concerns?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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How was your experience scheduling your appointment?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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How was your experience at check-in?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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How was your experience at check-out?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Waiting time in our office?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Overall medical care at your doctor’s office?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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How satisfied are you with our office’s convenience (location, parking, hours, office layout)?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Have we met your expectations in your doctor?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Did our medical staff meet your expectations?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Did our office staff meet your expectations?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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Would your recommend your doctor to your family or friends?
5 - Extremely Satisfied
4 -Very Satisfied
3 - Satisfied
2 - Very Dissatisfied
1 - Extremely Dissatisfied
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