Tell us about your experience at Dupont Clinic:

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    Client Feedback Form

    We are honored you chose our team to care for you. We would love to hear your thoughts or feedback on how we can improve! You may answer as few or as many questions as you wish to respond to. Your answers will remain anonymous, but you are welcome to include any identifying information if you would like.

    How would you rate your experience scheduling your appointment with us?

    Very difficult


    Do you have any feedback for the staff who scheduled your appointment?

    Are you satisfied with our level of client privacy?

    Not satisfied

    Extremely satisfied

    Do you have any comments on client privacy?

    How satisfied are you with the care you received from our staff (Patient Care Guides, Nurses, Midwives & Physicians)?

    Not satisfied

    Very satisfied

    What feedback do you have for your team (Patient Care Guide, Nurse, Midwife & Physician)?

    Did you feel that your physical discomfort was appropriately responded to?

    Not at all


    Do you have any comments about your pain management while at the clinic?

    How well did our clinic meet your needs?

    Not well at all

    Extremely well

    How comfortable was our clinic?

    Not at all comfortable

    Extremely comfortable

    What are some ways we can increase client comfort?

    Overall, how would you rate your experience with the DuPont Clinic?



    Was it helpful to be asked if you wanted to discuss contraception (birth control) options?

    Any additional comments?

    Thank you!

    We value your feedback and appreciate you taking the time to complete this form. As always, we welcome you reaching out to us with any questions or comments you may have.

    Or, leave a review on one of these platforms:

    We feel that these reviews are a wonderful way for prospective patients and referring providers to best understand the patient experience at DuPont Clinic. Please take a look at reviews other patients have left.

    “I found out I was pregnant really late. I took my birth control (pill) daily without fail and experienced no pregnancy symptoms and wasn’t showing even slightly…”


    Read the whole post on Reddit ➞

    “I was told by Planned Parenthood that my only options for an abortion with how far along I was, were to go to either Colorado or New Mexico…”


    Read the whole post on Reddit ➞


    Read the update from 1 year later ➞

    “I had to go to the Dupont Clinic due to some very unfortunate circumstances at 20 weeks pregnant and the staff was absolutely amazing at making me feel safe and comfortable…”


    Read the whole post on Google ➞

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