Medical Exam Customer Satisfaction Survey WLFF/Comprehensive Health Services, Inc. Page 1 of 2 1 What was the name of the clinic you visited (please include city and state).   2 The medical facility was conveniently located?   Yes No 3 The medical exam was completed at one location?   Yes No 4 Cleanliness of medical facility?   Very Clean Above Average Acceptable Below Average Unacceptable 5 Courteousness and helpfulness of the medical facility staff?   Excellent Above Average Average Below Average Unacceptable   6 Medical facility staff's knowledge and organization in regards to the requirements of the examination?   Excellent Above Average Average Below Average Unacceptable   7 Satisfaction with the medical staff's professionalism and knowledge?   Far Exceeded Expectation Exceeded Expectations Met Expectations Below Expectations Unacceptable   8 Satisfaction with experience at the medical facility?   Far Exceeded Expectations Exceeded Expectations Met Expectations Below Expectations Unacceptable