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Patient Feedback
Thank you for for taking the time to give us your feedback regarding any issue or concern you may have with U.S. HealthWorks.
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  What was the main reason for your visit?
  How did you first learn about U.S. HealthWorks?
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  How would you rate the service you received from the following?
    Front Desk:
    Medical Assistant:
    Medical Provider:
    Physical Therapist:
    Orthopedic Specialist:
    X-Ray Technologist:
  How would you rate the following aspects of our medical group?
    Hours of Operation::
    Scheduling:
    Convenience of Location:
    Visibility of Location:
    Appearance:
    Parking:
    Cleanliness:
    Waiting Time:
  How satisfied are you with the overall quality of care provided by U.S. HealthWorks?
  How can we improve our service to you?
 
  The following optional information will help us to investigate and identify problems to better serve you and your employer.
    Name:
    Company Name:
    Address:
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