Patient Satisfaction Survey

Walk In Urgent Care needs your help to make sure that we are constantly improving. Please take a few moments to fill out this survey and submit it to our corporate office. Please rate your experience on a scale of 1-5, 1 being the lowest, and 5 being the highest.

May we contact you regarding this survey?       Yes    No
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1 2 3 4 5
1 2 3 4 5
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