Did you have to wait long after you arrived for your appointment?
                        
                        
                            Yes, I had to wait quite a while
                        
                        
                            Did you leave the office feeling satisfied with your visit?
                        
                        
                            Not satisfied, but not unhappy
                        
                        
                            Did this provider listen to your input and concerns?
                        
                        
                            Yes
                        
                        
                            Does this provider adhere to the customer is always right policy?
                        
                        
                            Sometimes, but not always
                        
                        
                            Does this family doctor use current and safe equipment?
                        
                        
                            Fairly current