Were you satisfied with the process of booking an appointment?YesNoWas the front office staff courteous, warm and friendly?YesNoWere you taken into the exam room in a timely manner?YesNoAre you satisfied with the time the doctor spent with you?YesNoWas the doctor and/or medical staff warm, friendly and polite?YesNoWould you be happy to see this doctor again?YesNoOn a scale from 0-5, how likely would it be to recommend us to a friend or colleague?012345Do you have any other feedback for us?Would you like to leave us a review on Google?YesNoref This iframe contains the logic required to handle Ajax powered Gravity Forms.
