Prairie Mountain Health wants to provide the best possible service and care. You or a family member was recently seen by Dr. Elizabeth Rhynold who is a Geriatric Medicine Specialist, at the request of your family doctor or nurse practitioner.  As a new service, we would like your feedback. All information is confidential and is not being provided to the Geriatrician directly. She will receive a summary report of all responses provided to Prairie Mountain Health Medical Services Management.  Please take a few moments to answer this questionnaire by choosing the responses that best describe your experience.

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1. Person completing questionnaire:

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2. Month of visit:

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3. How were you seen by the Geriatrician?

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Please choose the best response for each:

  Yes No Unsure Not Applicable
1. I was pleased with the amount of time between the referral and my appointment with Dr. Rhynold.
2. Dr. Rhynold did a thorough assessment of my current health.
3. Dr. Rhynold was easy to understand.
4. I feel Dr. Rhynold will give my doctor useful information for my future care.
5. I would recommend the Geriatrician Service to others.
6. Overall, I feel the Geriatrician provides a valuable service to seniors.

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