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* 1. How would you describe your overall health?

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* 2. In the last 12 months, including today, how often have you been in to see your doctor or nurse practitioner at the SCFHT, Keewatin Medical Clinic, Kenora Medical Associates, or Docside?

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* 3. The last time you were sick, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually saw them or someone else in their office?

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* 4. How would you rate your experience with booking an appointment?

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* 5. How was your experience with our reception staff?

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* 6. When you see your doctor, nurse practitioner, or someone else in the office, how often do they give you an opportunity to ask questions about recommended treatment?

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* 7. When you see your doctor, nurse practitioner or someone else in the office, how often do they involve you as much as you want to be in decisions about your care and treatment?

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* 8. When you see your doctor, nurse practitioner, or someone else in the office, how often do they spend enough time with you?

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* 9. In the last 12 months, how many visits have you had to the Emergency department for your care instead of your doctor or nurse practitioner?

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* 10. How could we make your experience better?

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