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   TELL US HOW WE DID!

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* 1. When you schedule your annual check up how frequently are you able to book your appointment at an acceptable date?

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* 2. When you call our office with a medical question, how often do you get an answer the same day

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* 3. How often does your provider listen carefully to what your are saying?

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* 4. How often does your provider respect your opinions about your care?

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* 5. Does your provider spend enough time with you to address all of your concerns?

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* 6. How often does someone from our office go over your medications with you?

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* 7. When you need an appointment right away do you get it as quickly as you need it?

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* 8. Does the office seem to be informed about your visits to specialists?

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* 9. How often does your primary provider at this practice explain things in a way you understand?

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* 10. Do we ask you if you have things in your life that make it hard for you to take care of your health?

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* 11. Does your provider talk with about achieving goals for your health?

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* 12. On a scale of 1 to 10, with 1 being the worst and 10 being the best, how would you rate your provider?

1 5 10
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i We adjusted the number you entered based on the slider’s scale.

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* 13. Which provider in our office do you see most often?

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* 14. What is the best thing about our practice?

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* 15. What can we do to improve your experience when you come to our office?

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