1. How would you rate your doctor’s performance (1 worst- 5 best)? *

1 2 3 4 5

2. Was your doctor professional and considerate? (1 worst- 5 best)? *

1 2 3 4 5

3. Did your doctor answer all of your questions? (1 worst- 5 best)? *

1 2 3 4 5

4. How was the appointment session? (1 worst- 5 best)? *

1 2 3 4 5

5. How knowledgeable was your doctor about your issue? (1 worst- 5 best)? *

1 2 3 4 5