Did this provider leave you unattended for an extended period of time?
                        
                        
                            No, I was always attended to
                        
                        
                            Did you feel safe in this provider's care?
                        
                        
                            Yes
                        
                        
                            Did this provider listen to your input and concerns?
                        
                        
                            Yes
                        
                        
                            Was this provider late to your appointments?
                        
                        
                            No, they were on time
                        
                        
                            Did this provider seem irritated to be working with you?
                        
                        
                            No, they were polite