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1. About This Survey

This survey should only take a few minutes to complete - thank you for taking the time to share your feedback with us.

PLEASE NOTE: This anonymous survey is not under a secure connection so please do not put any patient identifiable information in the comments section.

Mid-State values your feedback about the services we provide. We use Patient Satisfaction Survey results to make sure we are meeting your needs.

Here is how we use the results of this survey:

 Improve our process and patient access
 Annual reviews of our clinicians and staff
 Making changes to our services to make them better

Your responses are directly responsible for improving these services and we value your time and feedback. All responses will be kept confidential and anonymous. Thank you.

For your convenience we've added a comment box at the end of the survey. Please feel free to comment as little or as much as you'd like. Your input is greatly appreciated and we hope it helps make your next experience here more pleasant.

1. Your Sex?

2. Your Age?

* 3. Was this visit for:

 
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