Connally Memorial Urgent Care Patient Satisfaction Survey Question Title * 1. Who was your provider? D. Griffith I. Cavanaugh M. Louis R. Paquette M. Nesbitt M. Casmear K. Fossum J. Schanen V. Walsh J. Ruley I do not know Other (please specify) Question Title * 2. The registration staff treated me with courtesy and respect. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 3. The medical assistant treated me with kindness and compassion. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 4. The medical assistant treated me with courtesy and respect. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 5. The physician assistant / nurse practitioner treated me with kindness and compassion. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 6. The physician assistant / nurse practitioner treated me with courtesy and respect. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 7. The physician assistant / nurse practitioner explained things in a way I could understand. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 8. The physician assistant / nurse practitioner took time to answer my questions. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 9. I felt my privacy was protected. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 10. The urgent care was clean and comfortable. Completely Agree Mostly Agree Neutral Mostly Disagree Disagree Question Title * 11. Would you recommend this urgent care to your friends and family? Definitely yes Probably yes Maybe Probably not Definitely not Question Title * 12. How would you rate your overall experience in the urgent care? Excellent Good Okay Below Average Poor Question Title * 13. Please provide feedback about your experience. Question Title * 14. Would you like to be contacted about your experience? Yes No Next