Thanks for recently coming to the Boerne/Bulverde Urgent Care. We hope your visit was enjoyable and met your health care needs. We have forwarded this questionnaire to you because we value your input and your comments will help us to improve our clinics. Please answer the following questions and make any comments you desire. Signatures are not requested and your privacy will be protected. Thank you for taking time to answer these questions and making Boerne/Bulverde Urgent Care a great health care facility.

How would you rate each of the following?

	* Required Information
First Name: *
Last Name: *
E-mail: *
Phone #:

1. How long did you wait to be seen by the physician?
2. Convenience of the location of the clinic?
3. When you called our office how were you treated over the phone?
4. How were you treated by our staff?
5. How were you treated by the attending physician?
Additional comments: