Cedar River Clinics - Patient Survey

Name *

First NameLast Name
Email Address*
example@example.com
My appointment was in:

RentonSeattleTacomaYakima
Appointment Date

MonthDayYear
Date
Services received:
The process of scheduling your appointment:

GreatGoodOkayPoor
The comfort and cleanliness of the clinic:

GreatGoodOkayPoor
Precautions to keep patients and staff safe from COVID:

GreatGoodOkayPoor
Quality of time spent with the provider (productive/informative):

GreatGoodOkayPoor
Responsiveness and care received from the staff:

GreatGoodOkayPoor
The information provided during your visit (including follow-up instructions):

GreatGoodOkayPoor
Overall appointment experience:

GreatGoodOkayPoor
Please type in any comments, suggestions, or messages and compliments to staff.
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