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* How did your learn about our practice? [checkbox* Howdidyourlearnaboutourpractice “physician referral” “family” “friend” “insurance company” “other”] If other, where did you learn about our practice? [textarea Otherhowdidyoulearnaboutourpractice] * Was your appointment made within your expected time frame? [radio* appointmentmadeinexpectedtimeframe “Same day” “1-2 days” “3-4 days” “other”] * Was the person who scheduled your appointment […]