1.Have you been seen in the ER since last seen?

Yes

No

2.If you have been to the ER, why were you not seen in a regular medical clinic?

CORNERSTONE MOBILE CLINIC was not open or I could not get a hold of clinic

OTHER family practice clinic was not open or I could not get a hold of clinic

I don't know, I was seen for something I could have been seen for in regular clinic

I was concerned I was having major health symptoms 

I was not seen in the ER

3.Cornerstone mobile clinic helps prevent me from being seen in the Emergency Room and hospital.

Yes

No

4.Cornerstone Mobile Clinic helps meet my medical care needs because:

I have transportation difficulties in other clinics

I have money difficulties in other clinics

I am scared of receiving bills in other medical clinics and/or I trust Cornerstone Nonprofit Healthcare

They provide in-person interpretation

They provide good medical care

5.I would like Cornerstone Nonprofit Healthcare to do this:

Better educate me on my medications or medical disease

Send me for more tests or referrals

Have more days or times they are open

Be easier to reach by phone

No changes needed, I am happy with my medical care

6.I would like more education on:

my medications

my medical disease

how to make medical care more affordable

paying bills at home

Other

No changes needed, I am happy with my medical care