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Please rate the questions below on a scale of 1-5. 1 meaning you had a great experience, 5 meaning you did not.
   
Was it easy to schedule a convenient appointment? 5 4 3 2 1 N/A
   
Were you greeted in a prompt and friendly manner? 5 4 3 2 1 N/A
   
Was the doctor sensitive to your needs? 5 4 3 2 1 N/A
   
Was your waiting time in the reception area reasonable? 5 4 3 2 1 N/A
   
Was your treatment explained to your satisfaction? 5 4 3 2 1 N/A
   
How would you rate the cleanliness of the facility? 5 4 3 2 1 N/A
   
Was your treatment completed to your satisfaction? 5 4 3 2 1 N/A
   
How would you rate your overall experience? 5 4 3 2 1 N/A
   
Would you return to our vision care practice for future treatment? Yes No
   
Would you refer a friend to our vision care practice in the future? Yes No
   
Would you be willing to write a review for King LASIK? Yes No
   
Summarize your visit experience.
   
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