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Patient Satisfaction Survey

How satisfied were you wish the following aspects of your care

Availability
 Unsatisfied Satisfied Neutral Very Satisfied
Convenience
 Unsatisfied Satisfied Neutral Very Satisfied
Scheduling
 Unsatisfied Satisfied Neutral Very Satisfied

Environment

Comfortable
 Unsatisfied Satisfied Neutral Very Satisfied
Too Cold
 Unsatisfied Satisfied Neutral Very Satisfied
Too Hot
 Unsatisfied Satisfied Neutral Very Satisfied
Staff Friendliness
 Unsatisfied Satisfied Neutral Very Satisfied
Nurse Friendliness
 Unsatisfied Satisfied Neutral Very Satisfied
Nurse Response Time
 Unsatisfied Satisfied Neutral Very Satisfied
Provider/Doctor
 Unsatisfied Satisfied Neutral Very Satisfied
Wait Time (Lobby)
 Unsatisfied Satisfied Neutral Very Satisfied
Wait Time In Exam Room
 Unsatisfied Satisfied Neutral Very Satisfied
Prescription Filled Timely
 Unsatisfied Satisfied Neutral Very Satisfied
Overall Experience
 Unsatisfied Satisfied Neutral Very Satisfied
Please Rate RMA Overall

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"Thank you, your feedback is greatly
appreciated"