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Scheduling (Updated!)
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Our Team
Contact Us
Frequently Asked Questions
News
Customer Care Portal
My Account
Remember Me
Register
Support Portal
Subscribe
Sterling’s App
COVID-19
View Reports
Order Reports
Video Tutorial & Sample Reports
Scheduling (Updated!)
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Find A Practitioner
Resources
About Us
Our Team
Contact Us
Frequently Asked Questions
News
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Practitioner Feedback
Practitioner Feedback
MTHFR Support
2017-06-14T00:04:59-05:00
Practitioner Feedback
Step 1 of 5
20%
Name of practitioner:
*
Enter the name of the practitioner you wish to supply feedback on
Appointment Date
*
Date Format: MM slash DD slash YYYY
When was your appointment with this practitioner? (If the exact date is unknown, please estimate)
For the next 5 questions indicate how strongly you agree with the statement.
Your appointment was easy to make and convenient.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
The practitioner was on time for your appointment and the full time that was promised was used.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
The practitioner and their staff conducted themselves in a professional manner.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
The practitioner was knowledgeable about SNPs as they relate to your condition.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
The practitioner helped you fully understand your health concerns to the best of their ability.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
You received reasonable quality of care for the amount you paid.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
For the next 2 questions simply answer yes or no.
Did the practitioner give you a written protocol?
*
Yes
No
Did you experience anything negative? (If yes please explain in the comments at the end)
*
Yes
No
Final questions.
How would you rate your experience with this provider?
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Would you recommend this practitioner to others?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
Additional Comments (optional)
Use this space to provide us with any addtional comments or clarifications to your previous answers. Feel free to tell us your thoughts on the practitioner, what they did well, and what they could have done better.
Phone
This field is for validation purposes and should be left unchanged.
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