Overall Satisfaction

We would like to know how you feel about the services we provide so that we can make sure we are meeting your needs.  Your responses are directly responsible for improving these services.  All responses will be kept confidential and anonymous.  Thank you for your time.

* 1. When was your most recent visit?

* 2. In which clinic was your most recent visit?

* 3. What service(s) did you receive at this visit? (Select all that apply.)

* 4. How would you rate your overall satisfaction with your most recent visit?

* 5. How likely are you to recommend our health center to your friends and relatives?

* 6. What do you like best about our health center?

* 7. Do you have any suggestions for improvement?

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