Patient Survey

Your Full Name

Your Email

1. How would you rate your doctor’s performance (1 worst- 5 best)?
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2. Was your doctor professional and considerate? (1 worst- 5 best)?
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3. Did your doctor answer all of your questions? (1 worst- 5 best)?
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4. How was the appointment session? (1 worst- 5 best)?
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5. How knowledgeable was your doctor about your issue? (1 worst- 5 best)?
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