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* 1. How likely is it that you would recommend your doctor to a friend or family member?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 2. Overall, how would you rate the service you received from the staff at the clinics of Drs. Smoker ?

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* 3. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

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* 4. How easy is it to schedule urgent appointments with your doctor when you're ill?

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* 5. How comfortable was the lobby and waiting area?

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* 6. How friendly is your doctor's office staff?

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* 7. Did your appointment with your provider start early, late or on time?

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

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

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* 10. How well did your provider answer your questions?

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* 11. How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs?

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* 12. Overall, how would you rate the care you received from your provider?

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* 13. At which of our clinics do you normally receive your care?

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* 14. Who is your primary care provider?

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* 15. Please share any other comments you have below:

T