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Get Patient Feedback Form

ERFORMANCE RATINGS The following guidelines are to be used in selecting the appropriate rating: Please select a performance rating for your doctor for each of the following statements: 1 2 3 4 5 6 Never Rarely Occasionally 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6 5 6 Frequently Always Not Applicable 1) Physician listens carefully to your symptoms. 2) Physician asks questions regarding your health history. 3) Physician explains tests that he/she orde.

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encourages rating
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47 votes

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