What was the date of you appointment *

Which physician did you see *

 Dr. Salman Saeed MD Debbie Turner FNP Naseem Ali FNP

Please rate the friendliness / helpfulness of the office staff who greeted you *

 Excellent Good Poor

Please rate the friendliness / helpfulness of our nurses *

 Excellent Good Poor

Please rate your satisfaction with your physician *

 Excellent Good Poor

Please rate your overall satisfaction with our practice *

 Excellent Good Poor

Please provide any positive comments / complaints / suggestions

Please provide Name & Phone Number if you would like to be contacted by the office manager regarding your visit