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* 1. How likely is it that you would recommend this company to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 2. During your most recent visit, did your healthcare provider listen carefully to you?

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* 3. Overall, how would you rate the service you received from the staff at our office?

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* 4. Is there anything we could have done to improve your last visit?

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* 5. How well did your provider explain your follow-up care?

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* 6. Overall, how satisfied or dissatisfied were you with your last visit to our office?

T