Post-Visit Satisfaction Survey

Not At All LikelyLikelyExtremely Likely
Not At All Likely
Likely
Extremely Likely
Very SatisfiedSomewhat SatisfiedNeither Satisfied Nor DissatisfiedSomewhat DissatisfiedVery Dissatisfied
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
Very EasySomewhat EasyNeither Easy Nor DifficultSomewhat DifficultVery Difficult
Very Easy
Somewhat Easy
Neither Easy Nor Difficult
Somewhat Difficult
Very Difficult
Extremely ConvenientVery ConvenientSomewhat ConvenientNot So ConvenientNot At All Convenient
Extremely Convenient
Very Convenient
Somewhat Convenient
Not So Convenient
Not At All Convenient
ExcellentVery GoodGoodFairPoor
Excellent
Very Good
Good
Fair
Poor
Extremely ComfortableVery ComfortableSomewhat ComfortableNot At All ComfortableNot Applicable
Extremely Comfortable
Very Comfortable
Somewhat Comfortable
Not At All Comfortable
Not Applicable
Very EarlySomewhat EarlyOn TimeSomewhat LateVery Late
Very Early
Somewhat Early
On Time
Somewhat Late
Very Late
Extremely WellVery WellSomewhat WellNot So WellNot At All Well
Extremely Well
Very Well
Somewhat Well
Not So Well
Not At All Well
Extremely WellVery WellSomewhat WellNot So WellNot At All Well
Extremely Well
Very Well
Somewhat Well
Not So Well
Not At All Well
Very SatisfiedSomewhat SatisfiedNeither Satisfied Nor DissatisfiedSomewhat DissatisfiedVery Dissatisfied
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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