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Patient Questionnaire

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Patient Satisfaction Questionnaire

  We would like to know how you feel about the services we provided. Your responses are confidential,

yet are instrumental in helping us seek out opportunities to improve.

Thank you for taking the time to complete the Questionnaire. Patient Satisfaction Questionnaires are reported to QUALITY MANAGEMENT.

Please feel free to contact QM Coordinator at (909)864-1097 ext. 4781,