Did this provider thoroughly explain the risks and benefits of your treatment?
                        
                        
                            Yes, I felt informed when I left
                        
                        
                            Are you going to visit this provider again?
                        
                        
                            Sure
                        
                        
                            Did this provider answer all your questions?
                        
                        
                            Yes
                        
                        
                            Did you leave the office feeling satisfied with your visit?
                        
                        
                            Completely!
                        
                        
                            Did this provider rush your appointment?
                        
                        
                            No