Patient Survey

How did you feel after your 1st visit?

Please Describe Other

Do you plan on continuing treatment with Westfield Health and Rehabilitation?

Yes

Unsure

What is something the office is doing right? (select 1 or more)

Front desk was friendly and accommodating

The doctor and staff were professional and educated me

The wait time was appropriate

The office was clean and inviting

I had a poor experience

What is something the office can improve? (select 1 or more)

What is Something We Do NOT Offer that You Would Like to See?

How likely is it that you would recommend our services to a friend or family member?

Extremely Likely	Very Likely	Somewhat Likely	Not at All Likely

Suggestions for improvement?

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