* 1. The staff at check-in/out were courteous and helpful:

* 2. How would you rate your wait time with the receptionists in the waiting room?

* 3. The check-in process was simple and clear:

* 4. The nursing staff were timely and attentive during my visit:

* 5. How would you rate your interaction with the nursing staff?

* 6. How would you rate your time with the Provider in the exam room?

* 7. Procedures and treatments were explained during my visit?

* 8. Questions and concerns were addressed prior to discharge?

* 9. How was the overall wait time?

* 10. How did you hear about us? Choose all that apply:

* 11. Have you been a patient at Kootenai Urgent Care before?

* 12. Would you refer us to your friends/relatives?

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