First VisitLess than 1 year1-5 years5+ years
Website/SearchReferral (Word of Mouth)Walked ByDirect MailOther
Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree
YesNo
YesNoSomewhat
Strongly agreeSomewhat AgreeSomewhat DisagreeStrongly Disagree
YesNoDon’t remember
Very SatisfiedSomewhat SatisfiedSomewhat DissatisfiedVery Dissatisfied
YesNoMaybe
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