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Thank you for choosing us. We are committed to providing the highest quality care and ensuring that your experience with us is as comfortable and beneficial as possible. To help us continue improving, we kindly ask you to take a few minutes to complete this survey. Your feedback is invaluable in guiding our efforts to enhance our services and better meet your needs.

Please be assured that your responses will be kept strictly confidential and will be used solely for the purpose of improving patient care and experience. Whether your feedback is positive or includes areas for improvement, we are eager to hear your honest opinions.

Thank you for your time and for helping us to serve you better.

**DEMOGRAPHIC INFORMATION (OPTIONAL)

SITE STAFF REVIEW

SITE REVIEW

GENERAL EXPERIENCE

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Revive Research Institute, Inc.

28270 Franklin Road
Southfield, MI
48034

T: 248-564-1485
E: info@rev-research.com