How happy are you with your doctor?
Thank you for taking the time to participate in this survey. Your responses will impact the care and service you receive from doctors in the future!

This survey will take approximately 5 minutes.

Do you have a regular medical doctor? *
How often do you see that doctor? *
When was your last visit to that doctor? *
Please indicate number of days
Your answer
For how many years have you seen this doctor? *
How long does it take you to travel to this doctor? *
About how much did you pay out-of-pocket for your last visit?
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