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Thanks for agreeing to share with us your opinion of your experience with Dr. Robyn Osborn of the National Center for Weight and Wellness. Your opinion will help her provide the best possible experience for our patients. Unless you ask us to contact you, your identity will not be shared with Dr. Osborn or with the National Center for Weight and Wellness.

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* How satisfied are you with your overall experience with Dr. Osborn?
 
Very Satisfied
 
Somewhat Satisfied
 
Somewhat Unsatisfied
 
Very Unsatisfied
 
 
(Optional) Comments/Suggestions:
   
 
 
 
May staff from the National Center for Weight and Wellness contact you to find out why your experience was not satisfactory?
 
Yes
 
No
 
 
So that we can get in touch with you, please provide contact information.
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
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* Considering your total experience with Dr. Osborn, how likely are you to recommend her to a friend or colleague?
«Very UnlikelyVery Likely»
012345678910
 
 
What could she have done to improve your experience with Dr. Osborn so that you would give a 9 or 10 rating in the previous question?
   
 
 
 
Would you be willing to share your experience with Dr. Osborn with others by writing a review?
 
Yes
 
No
 
 
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