How would you rate your scheduling experience?
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5
How well did your provider explain follow up care?
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Did your appointment start on time?
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Yes
No
Overall how would you rate the care you received?
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1
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3
4
5
Who did you see?
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Chariny Herring, DO
Anton Surja, MD
Faith Miller, APRN, PMHNP-BC
Melissa Livingston, PA-C, CAQ-Psy
Spravato Clinic
Optional comments
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Time
Hour Minutes
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