1. Did you use our website to fill out your medical information?

2. How would you rate your experience making your appointment with our office?

3. How would you rate your experience with the front office staff?

4. How would you rate your experience with the medical assistant?

5. How would you rate your experience at check out?

6. How long did you wait to see the doctor?

7. What suggestions do you have to make your experience better?


8. What positive feedback can you give us about your experience?


9. How did you hear about our office?


10. Would you reccomend us to friends and family?