* 1. Which Health Center site are you filling this survey out for?

* 2. How easy was it to make your appointment?

* 3. Were the Total Health Care forms easy to understand?

* 4. Was the receptionist/front desk pleasant and helpful?

* 5. Was the parking convenient?

* 6. Did you find the treatment area welcoming?

* 7. Did the providers treat you with respect and empathy during your visit?

* 8. Did we manage your account appropriately?

* 9. Do you have any other comments, questions, or concerns?