How likely are you to recommend our clinic to a friend, family member, or coworker? *
Select one number from 0 to 10. 0 = Not at all likely. 10 = Extremely likely.
What is the primary reason for the score you selected? *
Overall, how satisfied were you with your visit today? *
How long did you wait before being seen? *
How satisfied were you with your interaction with clinic staff? *
If this clinic were not available, where would you most likely seek care? *
Does having access to this clinic make you more likely to stay with your current employer? *
Was it easy to schedule or access care at the clinic? *
Did the provider explain your diagnosis, condition, treatment, or next steps clearly? *
Was your reason for visiting addressed today? *
What could we do to improve your clinic experience?
Is there anything else you would like us to know? Comments, highlights, etc.