Please review and respond to each survey question below:

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is your ethnic background?

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* 4. How did you hear about Morton?

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* 5. Which clinic location did you go to for services?

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* 6. What type of services do you receive at Morton? (Please check all that apply).

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* 7. How long have you been a patient at Morton?

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* 8. The facility is pleasant, clean and comfortable.

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* 9. Morton employees who work in the lobby are friendly and helpful to me.

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* 10. Morton employees are courteous when helping me understand my bill.

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* 11. Morton employees are courteous when helping me understand my bill.

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* 12. Have you contacted the Morton Pharmacy regarding medication or concerns?

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* 13. Morton Pharmacy employees answered any questions I had about my medication or concerns.

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* 14. Have you contacted the Morton Pharmacy about medication assistance?

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* 15. Morton Pharmacy employees were friendly and helpful when I asked about medication assistance.

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* 16. Have you used Morton's pharmacy for medication refills?

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* 17. The Pharmacy staff politely assists me with my pharmacy refills.

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* 18. Have you contacted the Medical Records Department to request your records?

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* 19. The Medical Records employees respond courteously to requests for my records.

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* 20. Did you have an appointment for your most recent visit to Morton?

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* 21. Was your appointment scheduled in a reasonable time for you to get the services you needed with your Physician and/or Provider?

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* 22. I received a reminder phone call, text message and email about my appointments. 

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* 23. Were you told about how much your initial out of pocket costs would be when your appointment was made?

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* 24. My appointment began on time, I was seen within 15 minutes or less of my scheduled appointment time, or from the time I came in for services.

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* 25. During the registration process, I was treated with courtesy and respect.

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* 26. Morton's Nursing and other clinical employees are friendly and helpful to me and treated me with courtesy and respect.

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* 27. My Physician and/or Provider is caring and compassionate.

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* 28. I would recommend treatment at Morton to others.

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* 29. Overall, I am pleased with my services at Morton.

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* 30. Did you feel like Morton cared about you as their patient at your most recent visit to Morton?

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* 31. What did Morton do to make you feel cared for as their patient?

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* 32. Did you use Morton's transportation services to get to your appointment?

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* 33. If you used Morton's transportation services, was the driver on time?

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* 34. If you used Morton's transportation services, was the driver professional and friendly?

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* 35. Please take some time to share your comments about any of Morton's programs, staff, or other services. It helps us to know what we do well and what we can do better.

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* 36. What other services would you find helpful?

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* 37. If you would like a Morton staff member to contact you about the comments you made on this survey, please provide your name and a telephone number.

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