The best care
Patient Satisfaction Survey
Our goal is to provide V.I.P., Very Important Patient, medical care to patients of all ages in a relaxed, comforting setting. Our patients receive the most modern medical care available today in an old fashioned manner.
We would like to know how you feel about the services we provide so that we can not only be certain we are meeting your needs but also improve upon our services.
All responses will be kept confidential. You may choose to remain anonymous. If you would like to remain anonymous in the field requiring your name please enter "anonymous" and in the following field requiring your email address please enter email@example.com.
Thank you for allowing us to provide medical care to you and for taking the time and effort to complete this form so that we can continue to get better.
Dr. H. Mones and Staff
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