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* 1. Are you a new or existing patient as of your last visit?

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* 2. Were you greeted by staff upon entering to our waiting area?

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* 3. Wait time includes time spent in the waiting room and exam room.  Were you able to see your healthcare provider within 15 minutes of your appointment time?

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* 4. If you did not have an appointment, were you seen by a healthcare professional within 30 minutes of arrival?

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* 5. During your most recent visit, did you talk with your healthcare provider about any health questions or concerns?

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* 6. During your most recent visit, did your healthcare provider show respect for what you had to say?

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* 7. How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs?

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* 8. Overall,how would you rate the care you received from your provider?

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* 9. How much do you trust your provider to make medical decisions that are in  your best interests?

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* 10. How likely are you to recommend this provider's practice to your family and friends?

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