Firefly Feedback Form
On a scale of 1-10 how would you rate the care you received at Firefly?
Poor
Excellent
On a scale of 1-10 how would you rate the attitude of our staff?
Poor
Excellent
On a scale of 1-10 how would you rate the attitude of the doctor with whom you saw?
Poor
Excellent
How easy was it to find our office?
Difficult
Easy
Are there any additional comments you would like to add?
Your answer
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