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Age Management Center
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Client Exit Survey

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Age Management Center of New England
Client Exit Survey

Thank you for taking one minute to help us improve our level of care.

"*" indicates required fields

1. What was the primary reason for leaving the program?*

Financial reasons

Did not meet expectations

Transitioning care elsewhere

No longer needed services

Not satisfied with my provider

Other (please specify)

Other (please specify)*

2. How satisfied were you overall with your experience at Age Management Center?*

Very satisfied

Satisfied

Neutral

Dissatisfied

3. How would you rate the quality of care you received from your provider(s)?*

Excellent

Good

Fair

Poor

4. How would you rate your experience with our administrative team (scheduling, communication, responsiveness)?*

Excellent

Good

Fair

Poor

5. Were there specific services or aspects of the program you felt were missing or would have made you more likely to continue?*

Yes (please specify)

No

Yes (please specify)*

6. If you have any feedback to share about what we could have done differently to improve your experience or encourage you to stay, we would love to hear from you here:

Email

This field is for validation purposes and should be left unchanged.

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Our Providers

Michael Bedecs, D.O.
Marc Demers, MD, FACS, FSSO
Anita Nicholson, MSN, FNP-BC, APRN
Christie Shepherd, MSN, FNP-C
Matthew Mitchell, PA-C

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Bioidentical Hormone Replacement Therapy for Women
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Longevity Biometrics Package3
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1945 Congress Street, Building C, Suite 200, Portland, ME 04101
(207) 774-1356
info@agemanagementcenter.com

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