FEEDBACK

How was your visit?

Share how the waiting area, front desk, and building felt. This is about the visit experience, not a clinical record.

About 2 minutes

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Which location did you visit?

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How did the wait feel?

Shorter than expected About what I expected Longer than expected

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How was the front desk?

Excellent Good Okay Poor

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How was the building and waiting area?

Excellent Good Okay Poor

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Would you visit this location again?

Yes Maybe No

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Anything else about the visit experience?

Optional. Please leave out clinical details.

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What is your name?

Optional.

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Where can we reply?

Optional.

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Please confirm this note is about the visit experience only.

Feedback confirmation

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Thank you

The clinic received your note about the visit experience.