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Henry Kaw MD Inc Survey
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* Indicates required question
Please select your visit type
*
In office visit
Telemedicine
Covid test swab only
Required
How did you make an appointment
*
Phone call (714)462-8383
24/7 online appointment booking thru
www.henrykawMD.com
Please rate your satisfaction:
*
1 Highly dissastified
2 Neither satisfied nor dissatisfied
3 Highly satisfied
N/A
Ease of online booking thru www.henrykawMD.com
Ease of phone booking thru staff
Friendliness of the staff
Doctor interaction
Cleanliness of the office
Wait time
Accessibility of Covid testing
Ambiance of the The Retreat Medical Spa
1 Highly dissastified
2 Neither satisfied nor dissatisfied
3 Highly satisfied
N/A
Ease of online booking thru
www.henrykawMD.com
Ease of phone booking thru staff
Friendliness of the staff
Doctor interaction
Cleanliness of the office
Wait time
Accessibility of Covid testing
Ambiance of the The Retreat Medical Spa
Please rate your overall satisfaction with your service
*
1 Dissatisfied
2 Neutral
3 Highly satisfied
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