Does this provider remember you and your circumstances at every appointment?
                        
                        
                            Yes
                        
                        
                            Were the staff members able to answer your questions?
                        
                        
                            Yes, they were able to answer my questions
                        
                        
                            Did you feel safe in this provider's care?
                        
                        
                            Yes
                        
                        
                            Did this provider's staff seem to respect him/her?
                        
                        
                            Yes, I could tell the staff respected him/her
                        
                        
                            Was this provider's office too loud?
                        
                        
                            No, it wasn't too loud