Give Feedback Question Title * 1. How was your experience in scheduling an appointment? Very easy Somewhat Easy Easy Difficult Somewhat difficult Very difficult Question Title * 2. Were our staff empathetic to your needs? Very empathetic Empathetic Somewhat empathetic Not empathetic Question Title * 3. How long did you have to wait until you saw your provider? As I expected I had to wait longer than I expected Question Title * 4. Were you satisfied with the provider you saw? Satisfied Somewhat Satisfied Somewhat dissatisfied Dissatisfied Very dissatisfied Question Title * 5. . How easy is it to navigate through our facility? Very easy Somewhat Easy Easy Difficult Somewhat difficult Very difficult Question Title * 6. How happy are you with the provider’s treatment? Happy Somewhat happy Indifferent Dissatisfied Question Title * 7. Were we able to answer all your questions? Yes No Some questions were left unanswered Question Title * 8. How likely are you to recommend us to family and friends? Very likely Likely Somewhat likely Not very likely Never Question Title * 9. What would you rate us? (5 being the highest rating) 5 4 3 2 1 Question Title * 10. What are some things you feel we should improve on? Done