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* 1. Chose the location where you received services today

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* 2. Which provider did you see?

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* 3. I am able to get an appointment when needed.

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* 4. I feel comfortable talking to my provider.

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* 5. I feel my treatment is private and confidential. 

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* 6. The provider listens carefully to what I am saying. 

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* 7. I am better able to deal with daily problems. 

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* 8. I understand the reason for my medications and how to take them.

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* 9. I received a summary of care provided and follow-up instructions.

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* 10. I was satisfied with the treatment than I received today. 

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* 11. I was asked if I needed other services that the clinic offers

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* 12. I would come back to see this provider.

0 of 12 answered
 

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