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First and Last Name
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How was your visit today?
Did you have all of your questions and concerns answered?
How did you hear about our office?
How long was your wait to be seen? Did the front staff keep you informed of any unusual delays?
If here for a second opinion or consultation, were you asked to bring records with you?
Have you had any interaction with our billing department? If yes, were your questions answered?
Was our Staff courteous and professional with you? If not, how can we improve our service to you?
Which physician assisted you? Dr. Parikh, Dr. Pinckert. Were they able to help you? Were you satisfied with your interaction?
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