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Patient Satisfaction Survey
How did you feel after your 1st visit?
Great
Same
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Worse
Other
Please Describe Other
Please Describe Other
Do you plan on continuing to receive your natural healing or wellness plan?
Yes
No
Unsure
What is something the office is doing right? (select 1 or more)
Front desk was friendly and accommodating
The doctor and staff were professional and educated me
The wait time was appropriate
The office was clean and inviting
I had a poor experience
Other
Please Describe Other
Please Describe Other
What is something the office can improve? (select 1 or more)
Later Hours
Earlier hours
More staff
Friendlier staff
Insurance or billing issues
Shorter wait
None, I had an amazing experience
Other
Please Describe Other
Please Describe Other
What is Something We Do NOT Offer that You Would Like to See?
How likely is it that you would recommend our services to a friend or family member?
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Somewhat Likely
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Suggestions for improvement?
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