Patient Experience Survey

Dear Patient:
It is our goal to provide you with the best care possible, This survey will help us learn more about your perception of your experience at Mid-State Health Center. Your participation in this survey is voluntary and the information we collect is used for quality improvement purposes. Your participation will not affect the health care you receive.

We are honored to continue to serve your healthcare needs.

Question Title

* 1. In the last 12 months, how many times did you visit Mid-State to get care for yourself?

None

1 to 2

3 to 4

5 to 9

10 or more times