PATIENT SURVEY We hope you will take the time to participate in our guest survey and share your recent experience with us. Our survey will only take a few minutes. We strive to bring you excellent experience every time you visit. Your feedback will allow us to continue to achieve our goals while enhancing your next experience. Thank you and Live Life Beautifully. Was your phone conversation when scheduling your appointment pleasant and informative?* Yes No Did our staff demonstrate competency and knowledge on your visit?* Yes No When you arrived at our office, were you greeted in a friendly and timely manner?* Yes No Was our staff on time, warm and friendly?* Yes No Was your appointment to your complete satisfaction?* Yes No If your appointment was not to your complete satisfaction, what could your nurse or doctor improve upon?Was our clinic clean, pleasant and relaxing?* Yes No When checking out and leaving our facility, was our staff: (please check all that apply)* Friendly Helpful Efficient Exceeding in expectations Knowledgeable Rude Pre-occupied Unpleasant Rushed Would you return to see us again?* Yes No Would you recommend us to your family, friends and/or co-workers?* Yes No Would you mind if we posted your comments in this survey on our website as a testimonial?* Yes No Please feel free to add any additional comments. We welcome your feedback and any suggestions you might have to better our services and add to your experience.