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Please tell us how you feel about our services and staff. Your responses help us to make appointments. This survey is anonymous. Thank you for your time. 

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* The following questions are about ease of getting care:

Time between making appointment and being seen

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* Convenience of clinic hours

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* Convenience of clinic location

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* The following questions are about wait time during your visit:

Time in waiting room

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* Time in exam room

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* The following questions are about front desk staff:

Courtesy of staff

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* Clearly explains  registration process

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* Answers your questions

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* The following questions are about today's provider:

Courtesy of provider

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* Listens to you

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* Takes enough time with you

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* Clearly explains what you want to know

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* Clearly explains medication

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* The following questions are about the medical assistants:

Courtesy of medical assistants/health educators

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* Clearly explains what you want to know

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* The following questions are about payment:

What you pay

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* Explanation of charges

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* The following questions are about the facility:

Cleanliness of clinic

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* Ease of finding where to  go

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* Comfort while waiting

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* The following question is about confidentiality:

Keeping your personal information private

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* How did you hear about us? Check all that apply

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* What do you like best about our clinic?

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* What do you like least about our clinic?

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* What could we have done to make your visit better today? 

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* Would you recommend us to friends/family? 

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