The information contained in this transmission may contain privileged and confidential information. Participation in the survey is completely VOLUNTARY.

Your responses to the questions asked will help us to improve the care we provide. All responses are kept confidential and are used solely as feedback to our team and for DAFHT Quality Improvement purposes. 

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* 1. Physician's Name

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* 2. When booking your last appointment to see your Doctor, Physician Assistant or Nurse Practitioner for an urgent medical issue, was the first appointment OFFERED to you:

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* 3. When you see your Doctor, Physician Assistant, or Nurse Practitioner, how often do they or someone else in the office involve you as much as you want in decisions about your care?

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* 4. Have you used the after-hours clinic in your doctor’s office in the last year?

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* 5. Have you used any of the following services in the last year? Check all that apply.

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* 6. What was the main reason for going to a walk-in clinic or hospital emergency department?

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* 7. Have you had experience with virtual appointments, either via video or by phone over the last two years?

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* 8. Would appointments done virtually via video or by phone continue to be of interest to you when an option?

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