Did you leave the office feeling satisfied with your visit?
                        
                        
                            No, I felt confused and uneasy when I left
                        
                        
                            Did the staff make you feel uncomfortable when you called with questions or concerns?
                        
                        
                            No, they didn't make me feel uncomfortable
                        
                        
                            Did this provider ever dismiss your concerns as unimportant?
                        
                        
                            Sometimes, I usually have to convince them to look into the situation
                        
                        
                            Did you notice a foul odor when you arrived at this provider's office?
                        
                        
                            No, I didn't notice an odor
                        
                        
                            Did this provider pressure you to purchase any unnecessary products during your visit?
                        
                        
                            Absolutely not! I was never uncomfortable