Rachel Nisha Dube, FNP
Family Medicine
Video Visit
MyBSWHealth
Locations of Rachel Nisha Dube, FNP
Baylor Scott & White Primary Care - Forney
763 E US Hwy 80 Ste 240, Forney, TX, 75126
6592.8mi
Directions
Call
469.800.3870
Closed
- Monday:8:00 am-5:00 pm
- Tuesday:8:00 am-5:00 pm
- Wednesday:8:00 am-5:00 pm
- Thursday:8:00 am-5:00 pm
- Friday:8:00 am-5:00 pm
Hours of Operation
Hours
Lab Hours
Hours of Operation
Office Hours
Biography
| Ages Seen |
|---|
| Infants and Toddlers (ages 0-2) |
| Children (ages 3-11) |
| Adolescents (ages 12-18) |
| Adults |
| Geriatrics |
| Language(s) Spoken |
|---|
| English |
| Education |
|---|
| Education: Baylor University (2014) |
| Certifications | |
|---|---|
| Family Nurse Practitioner- American Academy of Nurse Practitioners | Family Nurse Practitioner- American Academy of Nurse Practitioners (AANPCB) |
Insurances accepted
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Patient Ratings (418)
The patient rating score is an average of all responses to physician-related questions on our nationally recognized Press Ganey Patient Satisfaction Survey .
| averageRating | metric | |
|---|---|---|
| 4.9 | Provider included you in decisions | |
| 4.9 | Provider showed concern | |
| 4.9 | Time Care Provider spent with Patient | |
| 5.0 | Friendliness/Courtesy of Care Provider | |
| 4.7 | Wait Time at Clinic | |
| 4.9 | Rate Care Provider |
Patient Comments (215)
| 5.0 | Sep 12, 2025 | She really cares and she listens . I know she cares about her patients health. | |
| 5.0 | Sep 7, 2025 | Did a great job listening and figuring out what to do | |
| 5.0 | Sep 4, 2025 | She really cares about me as a person and a patient | |
| 4.8 | Sep 3, 2025 | Ms Dube took time to check my symptoms and do a thorough assessment with questions and exam. | |
| 5.0 | Aug 30, 2025 | I have been a patient of Dr. Dube for many, many years! I absolutely WOULD NEVER consider trusting my health with any one else!!!! | |
| 4.5 | Aug 6, 2025 | Listened, and made recomendations | |
| 5.0 | Aug 5, 2025 | Everyone is the office is always pleasant when greeting you and very welcoming. | |
| 5.0 | Jul 31, 2025 | She cares and gives me excellent care and honesty | |
| 5.0 | Jul 31, 2025 | She cares about her patients. You don't feel like just another number on a list. | |
| 5.0 | Jul 29, 2025 | Excellent communicator. | |
| 5.0 | Jul 27, 2025 | Very thorough andcaring | |
| 5.0 | Jul 23, 2025 | She is a very caring, compassionate care giver. | |
| 5.0 | Jul 22, 2025 | Thoughtful/ professional and caring .Thorough she caught a recent cancer scare for me and made follow through. It was a good doctors catch | |
| 4.8 | Jul 20, 2025 | The staff were friendly and knowledgeable of their craft. My doctor listened to my concerns and she provided a healing plan. | |
| 5.0 | Jul 17, 2025 | Great service | |
| 5.0 | Jul 17, 2025 | Her obvious care and compassion for her patients are apparent and appreciated. | |
| 5.0 | Jul 15, 2025 | So sweet and understanding. She does not rush you. She has all the right answers and takes care of you. | |
| 5.0 | Jul 13, 2025 | Rachel is always very professional and caring. She and I seem to communicate very well and I feel extremely satisfied with any visit I have with her. She was is an asset to the practice. | |
| 5.0 | Jun 24, 2025 | Rachel listens to you. Is very friendly and professional. | |
| 5.0 | Jun 19, 2025 | She is very caring and professional. Always Friendly every time I've seen her. I would highly recommend her. | |
| 4.8 | Jun 14, 2025 | She is great!! | |
| 4.7 | Jun 13, 2025 | Great | |
| 5.0 | Jun 11, 2025 | Rachel was extremely kind and listened to my problems and provided solutions. She is truly top class and I appreciate all her help! | |
| 5.0 | Jun 11, 2025 | Very professional and caring | |
| 5.0 | Jun 7, 2025 | It was my first time to see her and she was very attentive to my problems and didn't rush. Listened to any concerns I had. Very personable and professional. A big concern I had was the higher cost of one of my prescriptions with my change in insurance. She looked into it right away and I received a call they were looking into the situation and would be hearing soon on a solution. | |
| 5.0 | Jun 6, 2025 | She was very thorough, professional and genuine. | |
| 4.8 | May 29, 2025 | She listens and includes me in treatment plans. | |
| 5.0 | May 27, 2025 | The best | |
| 5.0 | May 27, 2025 | Very knowledgeable and helpful | |
| 5.0 | May 27, 2025 | We love Reachel she has a great disposition & approach, extremely professional, great with diversity & cultural population's. Very sensitive to patient needs. Great listener & educational when we do not comprehend something. | |
| 5.0 | May 20, 2025 | The best | |
| 4.2 | May 13, 2025 | She really cares about you | |
| 4.8 | May 13, 2025 | Rachel is very knowledgeable about everything and always answers your questions and doesn't rush | |
| 5.0 | May 8, 2025 | Would feel very disappointed if I had to use another health professional to assist me. Rachel is the best primary care provider I have ever had and her caring and attention to my health care and needs is immeasurable. Attentive, proactive and excellent listener and very sincere. She simply cares. Cannot say enough good words about Rachel. | |
| 5.0 | May 7, 2025 | She explains everything and insures that I have all my questions answered. | |
| 5.0 | May 7, 2025 | Very good | |
| 5.0 | May 6, 2025 | She was very nice. She listened to my concerns and provided a real solution. | |
| 4.8 | May 5, 2025 | She always listens to my concerns and doesn't rush whatever discussion we are having. Also, she is very personable and relatable. | |
| 5.0 | May 5, 2025 | She's caring | |
| 5.0 | May 3, 2025 | Ms. Dube is a good listener. She offers good, accurate information and reasoned advice for improving my health while considering my concerns. | |
| 4.8 | May 2, 2025 | She was very professional, polite and personable...liked her. | |
| 5.0 | Apr 25, 2025 | Awesome | |
| 5.0 | Apr 23, 2025 | Always listens and addresses any concerns I might have | |
| 4.8 | Apr 23, 2025 | Treated me in a manner that was professional and exemplary | |
| 5.0 | Apr 18, 2025 | Rachel is always very kind and compassionate and helps to answer any questions. | |
| 5.0 | Apr 16, 2025 | I am incredibly grateful for my experience with Rachel! She is always super helpful and makes time for me, no matter how busy her schedule is. Her prompt replies to my messages show how dedicated she is to her patients. The care I receive from her is exceptional, and I truly appreciate her support and attentiveness. Highly recommend! | |
| 5.0 | Apr 15, 2025 | She listens and takes her time. | |
| 5.0 | Apr 11, 2025 | Always kind and caring. | |
| 5.0 | Apr 4, 2025 | I am 77 years old. I absolutely have complete trust in Dr. Rachel's care for me an have been her patient for YEARS! Dr. Rachel is so very kind to me and answers my questions, and I answer her's. Dr. Rachel is the only one I will continue to have as my doctor! | |
| 5.0 | Apr 2, 2025 | Professional and caring | |
| 5.0 | Mar 28, 2025 | She listens to you and gives clear answers | |
| 5.0 | Mar 28, 2025 | She was Fantastic answered all questions asked made me feel welcome | |
| 5.0 | Mar 18, 2025 | She is the very best! Easy to talk to, kind, and seems to care for you as a person not just a patient! Love going to her!! | |
| 4.5 | Mar 18, 2025 | Rachel always give me the best care. | |
| 5.0 | Mar 17, 2025 | Knowledgeable, caring and never in a rush. | |
| 5.0 | Mar 14, 2025 | Very professional, kind and asks the questions needed to help make decisions and referrals needed. Tysm | |
| 5.0 | Mar 14, 2025 | Very patient oriented | |
| 5.0 | Mar 13, 2025 | Rachel is always so thorough and she listens to me. | |
| 5.0 | Mar 13, 2025 | Me and the rest of my family have been seeing this provider for several years and have always been pleased with the relationship. | |
| 5.0 | Mar 11, 2025 | Had a good visit. | |
| 5.0 | Mar 7, 2025 | She's professional and knowledgeable about my needs and care. | |
| 5.0 | Mar 7, 2025 | Great at listening | |
| 5.0 | Mar 6, 2025 | She listen and pay attention to my concerns and needs. | |
| 5.0 | Mar 2, 2025 | Advocate for patient health and concerns. | |
| 5.0 | Mar 1, 2025 | Professional, concerned! | |
| 5.0 | Feb 16, 2025 | Very caring. | |
| 5.0 | Feb 14, 2025 | Love Dr Dube! Takes her time and listens. | |
| 5.0 | Feb 12, 2025 | I love Rachel. She is amazing and always there for me. Best care I've ever had. I have recommended her people. | |
| 5.0 | Feb 11, 2025 | I have been seeing Rachel Dube for several years. She is always professional, friendly, courteous, and thorough in her exams. I appreciate her knowledge and efforts to be as helpful in every way possible. I would recommend her to anyone. | |
| 5.0 | Feb 10, 2025 | Great! | |
| 5.0 | Feb 6, 2025 | Accessible and responsive, patient and attentive to my issue(s) and questions | |
| 4.8 | Feb 5, 2025 | She listens | |
| 5.0 | Jan 22, 2025 | Very professional thorough cared about the situation I was in | |
| 5.0 | Jan 18, 2025 | Takes her time to listen to all your questions even if she has other patients waiting. I don't feel rushed by her like some times with other doctors | |
| 5.0 | Jan 9, 2025 | She's great! Always attentive and helpful. | |
| 5.0 | Jan 8, 2025 | She never makes you feel like you are being rushed. | |
| 4.8 | Dec 24, 2024 | Very professional very pleasant very knowledgeable takes care of me very well | |
| 5.0 | Dec 20, 2024 | Very Good | |
| 5.0 | Dec 20, 2024 | Always pleasant and knowledgeable | |
| 5.0 | Dec 18, 2024 | FNP Dube listens to me and I feel heard. That is very important to me. I am very grateful for her. | |
| 5.0 | Dec 17, 2024 | She has been my provider for several years and she is the most professional kind knowledgeable provider I've ever had. | |
| 4.8 | Dec 13, 2024 | Very good. Answering my concerns. | |
| 4.8 | Dec 7, 2024 | Rachel is very caring. Knows her stuff. I always feel confident with her regarding my heath. I hope she never leaves this clinic. | |
| 5.0 | Nov 27, 2024 | She listens and doesn't rush. Very thorough with me. | |
| 5.0 | Nov 27, 2024 | She cares | |
| 4.8 | Nov 26, 2024 | She will listen to you and will answer your questions. | |
| 5.0 | Nov 20, 2024 | Wonderful | |
| 5.0 | Nov 20, 2024 | Very professional | |
| 5.0 | Nov 19, 2024 | Very thorough and personable provider. I really felt she cared. | |
| 5.0 | Nov 16, 2024 | Rachel is very pleasant very caring and does her job well | |
| 4.8 | Nov 15, 2024 | She takes time to listen to your issues and does not try to rush the appointment. | |
| 4.8 | Nov 15, 2024 | Very thorough, great care | |
| 5.0 | Nov 6, 2024 | She listens and is very companionate | |
| 5.0 | Nov 4, 2024 | Very much | |
| 4.6 | Nov 2, 2024 | Very good | |
| 5.0 | Nov 1, 2024 | Always caring and listens to my concerns and feedback | |
| 4.0 | Oct 30, 2024 | Very professional | |
| 4.8 | Oct 30, 2024 | She is very caring | |
| 5.0 | Oct 25, 2024 | Rachel is AWESOME. She is very caring and understanding. | |
| 5.0 | Oct 21, 2024 | Courteous friendly polite concerning | |
| 4.8 | Oct 16, 2024 | Rachel is very thorough with answering questions and providing recommendations. She is also very courteous and friendly. | |
| 4.8 | Oct 12, 2024 | Rachel is absolutely awesome. Absolutely love her! | |
| 5.0 | Oct 10, 2024 | The care provider was very helpful and friendly. She answered all of my questions and provided guidance with scheduling other routine procedures that were due. | |
| 5.0 | Oct 2, 2024 | Rachel is always so kind but more importantly she listens to me and I am confident in her knowledge and ability to care for my medical needs | |
| 5.0 | Sep 29, 2024 | Excellent | |
| 4.8 | Sep 29, 2024 | Dr. Dube is the best dr I have ever had. | |
| 4.8 | Sep 29, 2024 | Very professional. She really cares about my well being. | |
| 5.0 | Sep 27, 2024 | Her customer service is excellent; she geuinely cares about me as a person and a patient; | |
| 5.0 | Sep 26, 2024 | Professional -Polite-helpful and answering my questions. Very pleased that Dr Rachel is my Doctor | |
| 5.0 | Sep 21, 2024 | Dr. Dube is the best dr I have ever had. | |
| 5.0 | Sep 20, 2024 | I really like Rachel she is awesome, very friendly and helpful | |
| 5.0 | Sep 20, 2024 | Ms. Dube has a great bedside manner and is able to ask the tough questions with great empathy. I always feel like I matter. | |
| 5.0 | Sep 14, 2024 | She is concerned about her patients, does not rush the visit, gives helpful advice. | |
| 4.8 | Sep 13, 2024 | She always takes the time to discuss and explain my thoughts and feelings. | |
| 5.0 | Sep 13, 2024 | She is very personable and and thorough and does not feel like she's in a rush when discussing the reason(s) for the visit. | |
| 5.0 | Sep 10, 2024 | The provider was very professional, understanding and most definitely helpful | |
| 5.0 | Sep 10, 2024 | Rachel is so professional as well as personable. She takes her time with you and actually listens to you. She is great' | |
| 5.0 | Sep 6, 2024 | Rachel Dube is an awesome provider. She really cares about me and my health. She is very thorough and she listens to my patient needs. She takes time to explain everything. She is fantastic!! | |
| 5.0 | Sep 4, 2024 | Rachel is very attentive to my healthcare needs and questions I ask. | |
| 5.0 | Sep 3, 2024 | Listens professional caring | |
| 5.0 | Sep 1, 2024 | I have been seeing Rachel for many years and her approach, care, knowledge and attitude have never changed. I don't want or need another primary care professional | |
| 5.0 | Aug 27, 2024 | She is very professional and concerned about my health | |
| 5.0 | Aug 22, 2024 | She covers everything. Very thorough and knowledgeable. Very creative when getting you to understand | |
| 5.0 | Aug 21, 2024 | Rachel is amazing! She is professional, efficient, empathetic, and works with the patient as part of a team. | |
| 5.0 | Aug 9, 2024 | Rachel has been my family's PCP for almost 9 years. She's awesome! | |
| 4.4 | Aug 8, 2024 | Very professional. Makes you feel comfortable. Takes time | |
| 5.0 | Aug 7, 2024 | She is so kind and understanding! She is thorough and allows you time to voice your concerns! I really like her and trust her judgments!! She is an asset to Baylor at Forney! | |
| 5.0 | Aug 5, 2024 | She always listens to what needs to be said and takes her time to explain what's needed | |
| 5.0 | Aug 2, 2024 | Very good | |
| 4.9 | Jul 25, 2024 | Her bedside manner was very attentive. She met all my needs. | |
| 5.0 | Jul 22, 2024 | She always listen closely and includes my opinion about my issues. She takes time to explain clearly about my treatment. | |
| 5.0 | Jul 22, 2024 | Very helpful in understanding | |
| 5.0 | Jul 18, 2024 | Visit with Rachel Dube are always great. | |
| 5.0 | Jul 18, 2024 | Good customer service | |
| 5.0 | Jul 17, 2024 | She was very thorough and kind, enjoyed my visit | |
| 5.0 | Jul 17, 2024 | Rachel always breaks things down to where I can understand and relate. Always so professional and understanding to my concerns. | |
| 5.0 | Jul 16, 2024 | Rachel is OUTSTANDING and will take her time with me. She has a huge heart for her patients | |
| 5.0 | Jul 11, 2024 | I love my provider she's very concern about my health and others | |
| 5.0 | Jul 5, 2024 | Great person and was very concerned about my issues. | |
| 5.0 | Jul 4, 2024 | I'm glad to have her as my Doctor! | |
| 4.7 | Jul 3, 2024 | Listens and helpful | |
| 4.8 | Jul 2, 2024 | Very professional, answered all my questions. Saw me sooner than my appointed time. Did an ekg and referred me to a cardiologist. Did a CT scan. Made me feel better. Very knowledgeable. | |
| 5.0 | Jul 2, 2024 | She is very patient and listens to all my needs . I don't feel rushed. | |
| 5.0 | Jul 1, 2024 | She is always listening and asking questions. Truly feels like she cares about my family | |
| 5.0 | Jun 28, 2024 | Rachel Dube always takes really great care of me. She's knowledgeable and caring. | |
| 5.0 | Jun 28, 2024 | Several co workers are referrals | |
| 5.0 | Jun 25, 2024 | Always friendly and answers all my questions. Don't have to wait. | |
| 5.0 | Jun 22, 2024 | She listens well and gives an accurate way to go further with treatment. | |
| 5.0 | Jun 21, 2024 | Rachel always inquires to make sure that I get the best treatment, am taking care of myself, and never judges me if I'm going through a tough time! | |
| 4.8 | Jun 20, 2024 | She took care of me very well and was patient and it is good that I have an assistant who speaks Spanish to be able to communicate in my language. | |
| 4.0 | Jun 18, 2024 | Friendly staff and doctor clean facility | |
| 4.9 | Jun 17, 2024 | Excellent | |
| 4.7 | Jun 17, 2024 | I appreciate her opinions and thoughtfulness during my visits | |
| 5.0 | Jun 15, 2024 | Dr Dube is one of the best!! She's thorough and always makes me feel better, even before the meds !! | |
| 5.0 | Jun 15, 2024 | She listened to my concerns | |
| 5.0 | Jun 13, 2024 | Rachel has always gone above and beyond to take care of my needs and just has the best bed side manner! | |
| 5.0 | Jun 12, 2024 | I was very comfortable & felt like all my needs were being met. | |
| 5.0 | Jun 11, 2024 | Personable, professional, and thorough. | |
| 5.0 | Jun 7, 2024 | She's very caring | |
| 5.0 | Jun 5, 2024 | During a power outage she made a great effort to give me medical care by video call. | |
| 5.0 | May 28, 2024 | Rachelle is always very willing to answer my questions. She is knowledgeable and very helpful. | |
| 5.0 | May 26, 2024 | Listen to what is going on and explain everything. | |
| 5.0 | May 18, 2024 | Rachel is very compassionate to her patients and her first priority is to get them well | |
| 5.0 | May 6, 2024 | Very pleasant an very thorough I think she cares | |
| 5.0 | May 6, 2024 | Rachel is always caring in her medical treatment, and caring for the patient. It amazes me that she can recall personal experiences of mine. | |
| 4.8 | May 3, 2024 | She is always so nice and friendly , she listens to your problems and takes care of them. | |
| 5.0 | May 1, 2024 | Rachel listens, empathizes, and responds kindly. | |
| 5.0 | Apr 24, 2024 | Rachel has taken care of me and my family for several years. She's great! | |
| 5.0 | Apr 23, 2024 | Very detailed | |
| 5.0 | Apr 21, 2024 | Always caring, makes me feel at ease and answers my questions. She provides me with information I need to help improve my overall health. | |
| 4.3 | Apr 20, 2024 | Very polite,and considering | |
| 5.0 | Apr 19, 2024 | Very thorough, knowledgeable. Very caring | |
| 5.0 | Apr 19, 2024 | Best care provider I've found since moving to Texas! | |
| 4.8 | Apr 15, 2024 | She's quite caring | |
| 5.0 | Apr 13, 2024 | Rachel have been my nurse practitioner for a long time and what I realize is if she can't fix the problem she will refer you to someone who will.I trust her judgement when taking care of me. | |
| 5.0 | Apr 12, 2024 | In my experience with health care providers, Rachel Dube is the most caring professional I have ever had treating me. She combines knowledge, compassion and listening skills all in one! | |
| 5.0 | Apr 12, 2024 | Rachel is very attentive and listens to her patients. | |
| 4.2 | Apr 3, 2024 | Dr. Rachel Dube is professional,she cares and listens to her patients,I already referred 3 family members to her.I have a remark about the lab staff, in general, they're pushy, not friendly ,specially my last visit she wasn't nice at all very rude. | |
| 4.8 | Apr 2, 2024 | Easy to talk to and always very helpful | |
| 5.0 | Mar 29, 2024 | Took the time to discuss family history and ordered a bone scan. Turns out I am losing bone density but thanks to her we caught it early. | |
| 5.0 | Mar 29, 2024 | Rachel is very friendly and caring. | |
| 5.0 | Mar 27, 2024 | We love seeing Rachel- she is compassionate, takes time and my daughter loves her! | |
| 5.0 | Mar 22, 2024 | Rachel is awesome, very thorough and never seems to rush you out the door. | |
| 5.0 | Mar 21, 2024 | I have complete confidence with Dr.Rachel Dube as my doctor! I trust all my health issues with Dr.Rachel, and would not consider seeing anyone else! | |
| 5.0 | Mar 13, 2024 | She makes you feel important. You are not rushed out. Rachel takes time to really listen. | |
| 5.0 | Mar 13, 2024 | She cares about her Patients | |
| 5.0 | Mar 12, 2024 | Both doctors are incredible. Will be seeing them forever | |
| 4.0 | Mar 9, 2024 | Rachel was nice and professional. She took her time and made me feel comfortable. She was thorough. | |
| 5.0 | Mar 8, 2024 | Very personal and caring | |
| 5.0 | Mar 6, 2024 | Very concerned about well being and making sure I'm taking care of completely. | |
| 5.0 | Mar 1, 2024 | Compassionate, kind , Listens . Very knowledgeable and so thankful for her. She's the best! | |
| 5.0 | Mar 1, 2024 | Good | |
| 5.0 | Mar 1, 2024 | Rachel took the time to listen to me to understand all my symptoms, ask the hard questions, and dive into what was going on with me to develop the best diagnosis and care treatment plan going forward. | |
| 5.0 | Feb 29, 2024 | Most caring, compassionate and best provider I have EVER had. | |
| 5.0 | Feb 28, 2024 | The people were very respectful.And professional | |
| 5.0 | Feb 28, 2024 | She listens and doesn't make you wait forever. | |
| 5.0 | Feb 28, 2024 | They have treated us with respect and they're all very kind and they're all very professional. I will definitely recommend them to my friends and relatives. | |
| 5.0 | Feb 27, 2024 | Rachael is a joy to be around. She listens to my issues, and is willing to go the extra mile to keep me as healthy as possible. | |
| 5.0 | Feb 25, 2024 | Great care | |
| 5.0 | Feb 25, 2024 | Rachel is always personable, attentive and thorough. I have recommended her to a friend and my husband goes to her also. She is the best I have had yet. | |
| 5.0 | Feb 25, 2024 | She cares about her patients. | |
| 5.0 | Feb 24, 2024 | A very pleasant person but also very professional. | |
| 4.4 | Feb 23, 2024 | Rachael has always made me feel comfortable and at ease. | |
| 5.0 | Feb 23, 2024 | Excellent care. Ms. Dube is always familiar with my medical history when she walks into the room. | |
| 5.0 | Feb 23, 2024 | She is an excellent provider, and makes me very comfortable | |
| 5.0 | Feb 23, 2024 | Very helpful | |
| 5.0 | Feb 23, 2024 | She is wonderful.l love her | |
| 5.0 | Feb 23, 2024 | She listened to my concerns, not just her but her staff took the time and answered my questions and made me feel that I had their attention, they were all very kind, friendly and not rushed | |
| 4.1 | Feb 23, 2024 | Talks out issues and speaks to me on my level | |
| 5.0 | Feb 23, 2024 | Rachel is very caring and listens to me and my concerns. She is professional and knows her boundaries. She is always quick to refer me to a specialist if needed. I appreciate her honesty and genuine concern for my well being. | |
| 5.0 | Feb 23, 2024 | She is really nice and is helpful in everything I need. She listens well to what I say. | |
| 5.0 | Feb 23, 2024 | Caring and listen | |
| 5.0 | Feb 23, 2024 | Rachel has always been a personal and amazing provider. I have always felt very comfortable with talking to her about any concerns. | |
| 5.0 | Feb 20, 2024 | She was amazing! Asked all the right questions and showed genuine interest in my care. | |
| 4.8 | Feb 20, 2024 | Really good care |
Patient comments are gathered from our Press Ganey Patient Satisfaction Survey and are displayed in their entirety. Patients are de-identified for confidentiality and patient privacy.