We'd love to hear your thoughts about our clinic and how we can help better serve you. Please fill out the survey form below..thanks you!

Name Required

Phone

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How did you find out about First Choice Required ----Drive ByFamily or FriendInternetPhone BookOther

How would you rate overall quality of medical care? ----PoorFairGoodExcellent

How would you rate courtesy and helpfulness of front desk staff? ----PoorFairGoodExcellent

How would you rate courtesy, helpfulness and professionalism of medical staff? ----PoorFairGoodExcellent

How would you rate cleanliness and neatness of Urgent Care Center? ----PoorFairGoodExcellent

How would you rate your overall visit time? ----PoorFairGoodExcellent

How would you rate communication and instructions during visit? ----PoorFairGoodExcellent

Was your waiting time before being seen by a provider acceptable?

Yes

No

Have you previously visited First Choice?

Yes

No

Overall, were you satisfied enough to return to our center for medical care in the future?

Yes

No

Would you recommend family and friends to our clinic?

Yes

No

What was the date of your visit?

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