Back in Balance Survey (5 min)
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Which of the following services would you like us to have? *
Required
How would you rate our office? *
Needs Improvement
Okay
Good
Great
Excellent
Look and feel
Ease of appointment scheduling
How would you rate the quality of our service? *
Did not see this person
Needs Improvement
Okay
Good
Great
Excellent
Dr. Anjali
Allison
Audrey
Maryse
Melody
How would you rate our website? *
Did not use
Needs Improvement
Okay
Good
Great
Excellent
Look and feel
Quality of content
Ease of finding information
Other Comments
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