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* 2. In the last 12 months, how many days did you usually have to wait for an appointment when you or your child needed care right away?  Would you say:

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* 3. In the last 12 months, how often did your provider explain things in a way that was easy to understand? Would you say:

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* 4. In the last 12 months, did a nurse, medical assistant, doctor or care coordinator talk with you about ways (or goals) for you to assist yourself or your children in improving your health?  Examples are; walking, eating healthy foods, taking your medication as prescribed, taking your blood pressure or checking your blood sugar and keeping a log to inform your provider of the results.

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* 5. What form of transportation do you use to get to the Health Center?

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* 6. Would you recommend East Texas Community Health Services to someone else?

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* 7. If you are interested in serving on the Health Center’s Board of Directors please include your:

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* 8. Please use a Patient Comment Form for any other information you would like to share about the health center.

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