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For example, the sample survey below should be provided to clients three times once to measure what their desired level of service is; once to measure the minimum level of service they consider to be adequate and once to evaluate at what level they believe the practice is currently operating. This method reduces the bias inherent in survey technique. It is important to note that the survey below is a sample. Clinics should customize the survey to fit their practice and their client base.
TANGIBLES
EMPATHY
ASSURANCE
RESPONSIVENESS
RELIABILITY