1475 Commercial St SE Salem, OR 97302 | 6464 Sw Borland Rd Suite B3 Tualatin, Oregon 97062
Handicap Accessible
Salem: 503-391-0688 
Tualatin: 503-612-4040

PATIENT SATISFACTION SURVEY

Yes
No
Found you online
It’s near my office or home
Referred by another physician
Referred by another patient
Saw an advertisement
Telephone listing
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Needs Improvement
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Average
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Excellent
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Excellent
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Average
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Excellent
Above Average
Average
Needs Improvement
Poor
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Excellent
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Average
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Excellent
Above Average
Average
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Excellent
Above Average
Average
Needs Improvement
Poor
N/A
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