MICs Group of Health Services

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* 1. I visited the Emergency Department at

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* 2. The quality of care or services provided by the medical staff was

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* 3. I would rate the amount of time I waited in the waiting area to be seen by the ER staff as

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* 4. I would rate the amount of time I waited in the exam room to be seen by a physician as

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* 5. The staff consulted me or my family or caregiver in making decisions about my care

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* 6. The staff did everything they could do to help me with my pain?

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* 7. I was given a clear and complete explanation by the nursing staff prior to my procedure or exam

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* 8. I was given a clear and complete explanation by the physician prior to my procedure or exam

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* 9. I would rate the professionalism, courtesy and friendliness of the nursing staff as

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* 10. I would rate the professionalism, courtesy and friendliness of the physician as

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* 11. When I left, I had a good understanding of the things I was responsible for in managing my health.

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* 12. My experience would have been better if

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* 13. I would like to recognize someone special on your staff that helped make my experience excellent

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