Exit PATIENT SATISFACTION SURVEY DX 11% of survey complete. Question Title * 1. APPOINTMENT Date Date Question Title * 2. Appointment Time 6:45 7:00 7:15 7:30 7:45 8:00 8:15 8:30 8:45 9:00 9:15 9:30 9:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 1:00 1:15 1:30 1:45 2:00 2:15 2:30 2:45 3:00 3:15 3:30 3:45 4:00 4:15 4:30 Question Title * 3. Were you able to schedule your appointment quickly and easily?' YES NO Question Title * 4. Which office did you visit? Brighton, Sawgrass Drive Carthage Greece Victor Batavia Geneseo Webster Question Title * 5. Is this your FIRST appointment with EWBC at any of our locations? NO YES Question Title * 6. What is your age? 18 to 30 31 to 40 41 to 50 51 to 60 61 to 70 71 to 80 81 and over Next
