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* 1. I have received telehealth care for the following FRRH services:

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* 2. Were you able to connect to your telehealth appointment with video and audio?

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* 3. Were your goals for the visit with your provider met?

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* 4. Do you feel that your provider listened, understood, and respected your needs?

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* 5. On a scale of 1 to 10 (with 1 being  Not As Good and 10 being Better Than), how would you rate this visit compared to an in-person visit?

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i We adjusted the number you entered based on the slider’s scale.

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* 6. On a scale of 1 to 10 (with 1 being never and 10 being definitely), based on your experience with this Telehealth visit, how likely would you be to schedule another Telehealth visit with your FRRH Provider

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* 7. Are you interested to continue Telehealth visits after pandemic restrictions are lifted?

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* 8. Please share your feedback specific to telehealth services at FRRH:

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