What is YOUR your zipcode?

1. How easy was it to make an appointment with us?
very easy O.K. Too Hard

2. How easy was it to find us?
very easy O.K. Too Hard

3. How do you feel about our building/location?
Great O.K. Don't like it

4. How were you treated by our staff?
Check-In staff:
Great O.K. There was a problem

comments:

Professional staff: (doctors, dentists, nurses, hygienists, nutritionists)
Great O.K. There was a problem

comments:

5. Would you recommend the program/staff to a friend?
YES! Maybe No

comments:

6. What could we have done to make your visit
easier/better/more pleasant?

7. I would like to:

Have someone contact me about a complaint

Get emails from you about program and health news

Volunteer to tell you more about how your programs
could be even better

If you checked one of the boxes above,
please tell us how to contact you: