Post-Visit Satisfaction Survey

Not At All LikelyLikelyExtremely Likely
Very SatisfiedSomewhat SatisfiedNeither Satisfied Nor DissatisfiedSomewhat DissatisfiedVery Dissatisfied
Very EasySomewhat EasyNeither Easy Nor DifficultSomewhat DifficultVery Difficult
Extremely ConvenientVery ConvenientSomewhat ConvenientNot So ConvenientNot At All Convenient
ExcellentVery GoodGoodFairPoor
Extremely ComfortableVery ComfortableSomewhat ComfortableNot At All ComfortableNot Applicable
Very EarlySomewhat EarlyOn TimeSomewhat LateVery Late
Extremely WellVery WellSomewhat WellNot So WellNot At All Well
Extremely WellVery WellSomewhat WellNot So WellNot At All Well
Very SatisfiedSomewhat SatisfiedNeither Satisfied Nor DissatisfiedSomewhat DissatisfiedVery Dissatisfied
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