* 1. Overall, how would you rate Resurrection Physicians Provider Group?

* 3. What was the length of time you waited for a routine appointment with your Primary Care Physician?

* 4. What was the length of time you waited for an urgent appointment with your Primary Care Physician?

* 5. How would you rate your Primary Care Physician on the following:

  Excellent Very Good Good Fair Poor No Experience
Thoroughness of examinations
Explanation of medical tests and treatments
Advice about ways you can avoid illness and stay healthy
Respect shown to you and attention to your privacy
Medical care that you received
Availability of Primary Care Physician after hours

* 6. How would you rate your Primary Care Physician’s office on the following:

  Excellent Very Good Good Fair Poor No Experience
Availability of office hours
Length of time between making an appointment and the date of the appointment
Length of time spent in the waiting room
Understanding of your health care benefits

* 7. What was the average length of time you spent in the Primary Care Physician’s waiting room?

* 8. How would you rate the friendliness and courtesy shown by the following personnel:

  Excellent Very Good Good Fair Poor No Experience
Primary Care Physician (PCP)
Primary Care Physician Nursing Staff
Primary Care Physician Receptionist

* 9. What was the length of time it took your Primary Care Physician to respond to your emergency telephone call?

* 10. Did someone from your Primary Care Physician’s office contact you about your blood test, x-ray or other test results?

* 11. In the past 12 months, how often did your Primary Care Physician give you clear instructions about what to do to take care of the health problems or symptoms that were bothering you?

* 12. In the past 12 months, did your Primary Care Physician’s office remind you about getting preventative care that you were due to receive? (For example, flu shot, colorectal cancer screening, mammogram, etc.)

* 13. Have you received an influenza shot (flu shot) since August 1, 2012?

* 14. In the past 12 months, did your Primary Care Physician talk with you about the following:

  Yes No Not Applicable
Eating Habits
Exercise or physical activity
All of the different medicines you are using

* 15. Overall, how would you rate your current Primary Care Physician?

* 16. What is your gender?

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