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* 1. Identify your relationship with Christie Clinic.

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* 2. When was the last time you visited Christie Clinic as a patient?

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* 3. Approximately how often do you see your physician?

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* 4. Have you visited the Christie Clinic website in the past month?

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* 5. What sort of information were you seeking when you visited the site?

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* 6. What websites do you visit on a regular (daily or weekly) basis?

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* 7. Before you visit your physician, what following activities do you perform?

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* 8. Where do you get your health and wellness information?

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* 9. How would you rate your recent impression of Christie Clinic in the following areas:

  not satisfied -1 2 3 satisfied - 4
Ability to schedule appt.
Quality of physicians
Community involvement
Friendliness of office staff
Appt. wait times
Cleanliness of facilities
Modern facilities
Technology/equipment

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* 10. Rate the factors you consider when choosing a physician by order of importance.

  1-Least Important 2 3 4 5 6 7 8 9 10 11-Most Important
Physician's Specialties
Office Times
Hospital Affiliation
Office Location
Previous Wait Times
Physician's Demographics
Referral by Friend or Family
Familiarity With Physician
Physician's Education
Referral by Another Physician
Physician Group

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* 11. Would you refer a family member or friend to Christie Clinic?

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* 12. If you could recommend one area of improvement for Christie Clinic, what would it be?

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* 13. If you would be interested in participating in a live focus group, please provide your name, phone number or email in the below box. Thank you! (Christie Clinic and Provena Covenant Medical Center employees should not apply.)

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