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To ensure that Lawrence OB/GYN continues to deliver exceptional service to our patients, please take a moment to share your experiences by completing this short survey. Your feedback is invaluable, helps us strive for excellence, and is greatly appreciated. If you wish for a reply to your feedback, please include your contact information in the comments section. THANK YOU for your effort.

If you are completing this survey in response to a particular date of service or staff member, indicate that information here:

Date: Staff:

1. Which type of practitioner did you choose to see?

    Doctor   Midwife   Nurse Practitioner

2. Was our office clean & orderly?
    Yes   No
    Comments:

3. When you called to schedule your appointment, was the scheduling staff friendly and helpful?
    Yes   No
    Comments:

4. When you arrived for your appointment, was the reception staff friendly and helpful?
    Yes   No
    Comments:

5. During your appointment, was the nursing staff friendly and compassionate?
    Yes   No
    Comments:

6. Did you feel comfortable with your practitioner and feel that your questions were answered to your satisfaction?
    Yes   No
    Comments:

7. Did you feel that you were given the best possible care?
    Yes  No
    Comments:

8. How was your overall experience at Lawrence OB-GYN?
    Excellent  Satisfactory  Needs Improvement
    Comments:

9. If you have ever left a message with our office, was it returned promptly?
    Excellent  Satisfactory  Needs Improvment
    Comments:

10. Would you recommend our practice to a friend, neighbor, or family member?

    Yes  No
    Comments:

11. General comments:


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