Thank you for taking the time to read and respond to this survey. Please note your answers are completely anonymous unless you choose to leave your name. Your responses will help us to help others in the future and provide better services for you if you decide to return. 

According to our records, we have not seen you in a month and have no future appointments scheduled. This is because (check all that apply):

My experience with scheduling was positive

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I found the facilities pleasant

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My therapist gave my concerns adequate attention

Thank you for your time and the opportunity to serve you.