Patient Survey

August 20, 2020 by berkowitzadmin

    1. Please rate your experience level regarding the topics listed below:

    Experience:
    1=Not Satisfied at All       5=Very Satisfied


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    Check One: PhysicianPhysician Assistant


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    2. Please rate your level of understanding of the topics below:

    1= Do not Understand at All     5=Understand Completely


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    3. Please tell us how we could improve our service:

    4. Please enter your name.

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