Are you going to visit this provider again?
                        
                        
                            Sure
                        
                        
                            Did this provider thoroughly explain the risks and benefits of your treatment?
                        
                        
                            I think so
                        
                        
                            Did you leave the office feeling satisfied with your visit?
                        
                        
                            Yes
                        
                        
                            Did this provider answer all your questions?
                        
                        
                            Yes