Phone: (919) 774-7117
Fax: (919) 776-6715
1801 Doctors Drive Sanford, NC 27330

Patient Visit Survey

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  • Well child visitFollow up visitSick visit
  • Extremely easyVery easyModerately easySlightly easyNot easy at all
  • Extremely friendly and helpfulVery friendly and helpfulModerately friendly and helpfulSlightly friendly and helpfulNot friendly or helpful
  • Extremely friendly and courteousVery friendly and courteousModerately friendly and courteousSlightly friendly and courteousNot friendly and courteous at all
  • Extremely wellVery wellModerately wellSlightly wellNot well at all
  • Less than 15 minutes15 - 30 minutesMore than 30 minutes
  • Extremely helpful and supportiveVery helpful and supportiveModerately helpful and supportiveSlightly helpful and supportiveNot at all helpful and supportiveNot applicable
  • Extremely wellVery wellModerately wellSlightly wellNot well at all
  • Extremely pleasedVery pleasedModerately pleasedSlightly pleasedNot pleased at all
  • YesMaybeNo
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