It is our desire to provide you with excellent customer service. Would you please take 60 seconds to fill out these questions to let us know how we are doing?

How would you rate your experience with the following departments in our office?  (On a scale with 1=Poor to 10=Excellent, please rate the below departments) *
Front Desk/Check-In
Clinic (Doctors and Technicians)
Check Out
Did we exceed all of your
    expectations today? *