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1. Were you satisfied with your clinical treatment today? Yes No If No, please explain: 2. Were you satisfied with the processing of your payment today? IE insurance questions, copay, payment plan, collections,etc. Yes No   If No, please explain:   3. Were you greeted and satisfied with your check in at the front window? Yes No If No, please explain: 4. Any recommendations for improvement today in your experience at SC Sports Medicine and Orthopaedic Center? 5. Would you recommend us to a friend? Yes No If No, please explain:

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